Individual
ELSA ANNE COLSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
129 MAIN ST, BECKLEY, WV 25801-4615
(304) 719-9321
Mailing address
1009 1/2 2ND AVE, MONTGOMERY, WV 25136-2308
(304) 719-9321
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2012-3069
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2012-3069
WV BOARD OF MASSAGE THERAPY
WV
Enumeration date
07/08/2022
Last updated
07/08/2022
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