Organization
LAS MANOS MASSAGE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM MCQUEEN LMT (OWNER)
(719) 395-7807
Entity
Organization
Contact information
Practice address
301 E. MAIN ST., SUITE 10, BUENA VISTA, CO 81211
(719) 395-7807
Mailing address
PO BOX 5039, BUENA VISTA, CO 81211-5039
(719) 395-7807
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
1006
CO
Other
Enumeration date
10/26/2012
Last updated
10/26/2012
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