Individual
JOSEPHINE D TERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
257 N COMMERCIAL ST, TRINIDAD, CO 81082-2610
(719) 680-3480
Mailing address
37351 COUNTY ROAD 26.6, TRINIDAD, CO 81082-9708
(719) 680-3480
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT0008578
CO
Other
Enumeration date
11/10/2020
Last updated
11/10/2020
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