Individual
MS. LAURA E GARRARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT, NCTMB
Contact information
Practice address
430 SOUTH JACKSON STREET, JACKSON, WY 83001
(307) 690-5308
Mailing address
PO BOX 12766, JACKSON, WY 83002-2766
(307) 690-5308
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
316749
BLUE CROSS BLUE SHIELD OF WYOMING
WY
Enumeration date
04/20/2010
Last updated
04/20/2010
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