Individual
CARLEE CRAIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
111 W EVANS AVE, PUEBLO, CO 81004-4215
(719) 542-1000
Mailing address
2 PRINCE VALLEY CT, PUEBLO, CO 81005-2140
(719) 251-6855
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT.0020482
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
O658061
—
CO
Enumeration date
05/07/2019
Last updated
05/07/2019
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