Individual
MS. KAITLIN R PETSCHKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
451 21ST AVE STE A, LONGMONT, CO 80501-1421
(303) 678-7170
Mailing address
451 21ST AVE STE A, LONGMONT, CO 80501-1421
(303) 678-7170
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
20986
CO
Other
Enumeration date
12/04/2017
Last updated
02/20/2019
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