Organization
ASPEN WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JASON DOUGLAS MCCLINTOCK LMT (MEMBER)
(970) 884-8900
Entity
Organization
Contact information
Practice address
85 W. MILL STREET, BAYFIELD, CO 81122
(970) 884-8900
Mailing address
82 DEER RIDGE DR, BAYFIELD, CO 81122-9418
(970) 884-8900
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
3591
CO
225700000X
Massage Therapist
Primary
3592
CO
Other
Enumeration date
12/08/2009
Last updated
12/08/2009
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