Individual
AMANDA OWENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3609 IDAHO ST STE B2, EVANS, CO 80620-2121
(970) 545-2107
Mailing address
3609 IDAHO ST STE B2, EVANS, CO 80620-2121
(970) 545-2107
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT.0014205
CO
Other
Enumeration date
03/10/2015
Last updated
03/10/2015
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