Individual
DARRELL LEE EVERDING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MASSAGE THERAPIST
Contact information
Practice address
1013 POPLAR ST STE 2, LEADVILLE, CO 80461-3084
(719) 486-1757
Mailing address
PO BOX 275, LEADVILLE, CO 80461-0275
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
09/24/2007
Last updated
09/24/2007
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