Individual
MRS. IRIS JEANETTE DIAZ CASSIDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT. COMT
Contact information
Practice address
1548 G STREET, #8 LA PLACITA, SALIDA, CO 81201
(719) 207-1402
Mailing address
1548 G STREET, #8 LA PLACITA, SALIDA, CO 81201
(719) 207-1402
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
3543
CO
Other
Enumeration date
03/19/2010
Last updated
03/19/2010
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