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Individual

STEPHANIE WILSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
1115 E MAIN ST, TRINIDAD, CO 81082-2033
(304) 667-6812
Mailing address
44250 US HIGHWAY 160, TRINIDAD, CO 81082-9774
(304) 667-6812

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0026780
CO

Other

Enumeration date
10/26/2012
Last updated
01/05/2026
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