Individual
DAILA LIERRA COSGROVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
697 1675 RD, DELTA, CO 81416-3462
(970) 985-1491
Mailing address
697 1675 RD, DELTA, CO 81416-3462
(970) 985-1491
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT.0024824
CO
Other
Enumeration date
01/31/2025
Last updated
01/31/2025
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