Individual
KATIE ANNE GILLILAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT, CNMT
Contact information
Practice address
710 SOUTH ST, CASTLE ROCK, CO 80104-2621
(303) 328-7828
Mailing address
PO BOX 921, PARKER, CO 80134-0921
(303) 328-7828
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT.0016661
CO
Other
Enumeration date
07/16/2014
Last updated
07/16/2014
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