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Individual

MS. EMILY A SHEPHERD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT, NCBTMB

Contact information

Practice address
333 N TEJON ST STE A, COLORADO SPRINGS, CO 80903-1233
(719) 428-5883
Mailing address
1416 N ROYER ST, COLORADO SPRINGS, CO 80907-7632
(719) 428-5883

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT.0011911
CO

Other

Enumeration date
08/11/2015
Last updated
08/11/2015
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