Individual
MS. KRISTINE LESLIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
960 CHAMBERS AVE, SUITE A202, EAGLE, CO 81631-0000
(970) 328-7822
Mailing address
PO BOX 2192, EAGLE, CO 81631-2192
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
1852
CO
Other
Enumeration date
05/05/2011
Last updated
05/05/2011
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