Individual
MR. RICHARD D HAUGEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NMT, LMT, CMT
Contact information
Practice address
391 COUNTY ROAD 51, DIVIDE, CO 80814-9149
(719) 687-5070
Mailing address
391 COUNTY ROAD 51, DIVIDE, CO 80814-9149
(719) 687-5070
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
710589 - 16316
CO
Other
Enumeration date
07/19/2007
Last updated
07/19/2007
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