Individual
MCKENZIE BERGSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
18551 E MAINSTREET STE 1B, PARKER, CO 80134-4951
(303) 805-1902
(303) 805-2019
Mailing address
18551 E MAINSTREET STE 1B, PARKER, CO 80134-4951
(303) 805-1902
(303) 805-2019
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
3664
CO
Other
Enumeration date
04/30/2010
Last updated
04/30/2010
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