Individual
JACQUELINE FETTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
630 COFFMAN ST, LONGMONT, CO 80501-8302
(303) 652-3533
Mailing address
736 WADE RD, LONGMONT, CO 80503-7018
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
CO
Other
Enumeration date
11/08/2024
Last updated
11/08/2024
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