Individual
TRACEY CALDWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
135 W SWALLOW RD, SUITE B1, FORT COLLINS, CO 80525-2563
(970) 218-0729
Mailing address
135 W SWALLOW RD, SUITE B1, FORT COLLINS, CO 80525-2563
(970) 218-0729
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
11634
CO
Other
Enumeration date
04/27/2011
Last updated
12/23/2011
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