Individual
PAULA M. PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, MSOM
Contact information
Practice address
2773 CHERRY ST, CANON CITY, CO 81212-2618
(719) 275-0010
Mailing address
2773 CHERRY ST, CANON CITY, CO 81212-2618
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0023335
CO
Other
Enumeration date
03/10/2020
Last updated
03/10/2020
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