Individual
ANNE E MOULTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RMT
Contact information
Practice address
126 W D ST, PUEBLO, CO 81003-3451
(719) 544-0168
(719) 544-7221
Mailing address
126 W D ST, PUEBLO, CO 81003-3451
(719) 544-0168
(719) 544-7221
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
610
CO
Other
Enumeration date
07/31/2009
Last updated
07/31/2009
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