Individual
DANA DENECE RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNMT, COZ
Contact information
Practice address
2 BELLFLOWER CT, PUEBLO, CO 81001-1101
(719) 641-2397
Mailing address
2 BELLFLOWER CT, PUEBLO, CO 81001-1101
(719) 641-2397
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT.0020624
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
COZ.0710321
—
CO
05
—
MT.0020624
—
CO
Enumeration date
11/14/2019
Last updated
11/14/2019
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