Individual
KRISTIN ELIZABETH FARR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
540 FRONT STREET, FAIRPLAY, CO 80440
(719) 836-1833
(719) 836-3346
Mailing address
PO BOX 355, ALMA, CO 80420
(970) 333-0036
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT.0020295
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1386781458
FAIRPLAY THERAPY CENTER
CO
Enumeration date
10/10/2017
Last updated
10/10/2017
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