Individual
SALLY GILBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1006 BRAGG PL, LONGMONT, CO 80501-1801
(303) 579-2448
Mailing address
1006 BRAGG PL, LONGMONT, CO 80501-1801
(303) 579-2448
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
6692
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6692
MASSAGE THERAPY LICENSE
CO
Enumeration date
06/05/2014
Last updated
06/05/2014
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