Individual
BREKE EWTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2601 S LEMAY AVE, SUITE 35, FORT COLLINS, CO 80525-2295
(970) 682-2038
(970) 682-2592
Mailing address
2601 S LEMAY AVE, SUITE 35, FORT COLLINS, CO 80525-2295
(970) 682-2038
(970) 682-2592
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
16731
CO
Other
Enumeration date
12/30/2014
Last updated
12/30/2014
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