Individual
MRS. AMY J ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, LMT, CNMT
Contact information
Practice address
955 N GREENWOOD ST, PUEBLO, CO 81003-2927
(719) 256-0797
Mailing address
955 N GREENWOOD ST, PUEBLO, CO 81003-2927
(719) 256-0797
(719) 285-0781
Taxonomy
Speciality
Code
Description
License number
State
163WM1400X
Nurse Massage Therapist (NMT)
Primary
RN.1623859
CO
225700000X
Massage Therapist
MT-8840
CO
Other
Enumeration date
04/16/2012
Last updated
10/01/2024
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