Individual
DIANE ELAINE GALLAGHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
220 E STATE ST, MARBLE, CO 81623-9064
(970) 945-6500
Mailing address
220 E STATE ST, MARBLE, CO 81623-9064
(970) 945-6500
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT.0007852
CO
Other
Enumeration date
09/20/2008
Last updated
02/02/2019
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