Individual
DEBORAH TROUT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1250 VAIL LN, LONGMONT, CO 80503-3640
(720) 466-0570
Mailing address
1250 VAIL LN, LONGMONT, CO 80503-3640
(720) 466-0570
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT.0018425
CO
Other
Enumeration date
03/09/2017
Last updated
03/09/2017
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