Individual
PAULA BORDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.M.T, L.L.C.C
Contact information
Practice address
126 W D ST, PUEBLO, CO 81003-3451
(719) 544-0168
Mailing address
126 W D ST, PUEBLO, CO 81003-3451
(719) 544-0168
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
628
CO
Other
Enumeration date
08/11/2009
Last updated
08/11/2009
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