Individual
NATALIE MARIE WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4770 BIG HORN RD UNIT O4, VAIL, CO 81657-3527
(312) 388-1538
Mailing address
4770 BIG HORN RD UNIT O4, VAIL, CO 81657-3527
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT.0014213
CO
Other
Enumeration date
12/28/2020
Last updated
12/28/2020
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