Individual
MR. GEORGE W GOODSPEED III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
711 N TAYLOR ST, GUNNISON, CO 81230-2208
(970) 648-7103
Mailing address
PO BOX 383, CRESTED BUTTE, CO 81224-0383
(508) 221-1454
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT.008990
CO
Other
Enumeration date
01/28/2019
Last updated
01/28/2019
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