Individual
TALYA MCDOUGALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
373 W DRAKE RD STE 9, FORT COLLINS, CO 80526-2881
(970) 980-9058
Mailing address
1025 CUNNINGHAM DR APT B6, FORT COLLINS, CO 80526-5933
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT.0014804
—
Other
Enumeration date
08/29/2020
Last updated
08/29/2020
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