Individual
CASEY KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NCTMB
Contact information
Practice address
624 APPLE DR, CORTEZ, CO 81321-4060
(970) 570-6025
Mailing address
624 APPLE DR, CORTEZ, CO 81321-4060
(970) 570-6025
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
10941
CO
Other
Enumeration date
03/18/2014
Last updated
03/18/2014
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