Individual
REBECCA JEAN WAGGONER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RMT
Contact information
Practice address
345 E 1ST ST, SALIDA, CO 81201-2801
(719) 539-3465
Mailing address
345 E 1ST ST, SALIDA, CO 81201-2801
(719) 539-3465
Taxonomy
Speciality
Code
Description
License number
State
173C00000X
Reflexologist
Primary
1592
CO
Other
Enumeration date
09/25/2011
Last updated
09/25/2011
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