Individual
REBECCA PENDLETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1121 W PROSPECT RD, SUITE B, FORT COLLINS, CO 80526-5623
(970) 377-0918
Mailing address
2239 BRIGHTWATER DR, FORT COLLINS, CO 80524-6804
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT.0011764
CO
Other
Enumeration date
04/19/2017
Last updated
04/19/2017
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