Individual
KIMBERLY CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MT
Contact information
Practice address
175 S CLOVER LN # 5, BAYFIELD, CO 81122-8768
(970) 884-9779
(970) 884-0847
Mailing address
175 S CLOVER LN # 5, BAYFIELD, CO 81122-8768
(970) 884-9779
(970) 884-0847
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT008192
CO
Other
Enumeration date
06/03/2014
Last updated
06/03/2014
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