Individual
AMY JO GANTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
5010 GRANITE ST, SUITE S1, LOVELAND, CO 80538-1685
(970) 672-6088
Mailing address
5010 GRANITE ST, SUITE S1, LOVELAND, CO 80538-1685
(970) 672-6088
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
3651
CO
Other
Enumeration date
06/07/2010
Last updated
06/07/2010
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