Individual
MS. CARRIE COY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
7615 W 38TH AVE UNIT B107, WHEAT RIDGE, CO 80033-6138
(303) 358-8655
Mailing address
7615 W 38TH AVE UNIT B107, WHEAT RIDGE, CO 80033-6138
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT.0005549
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MT.0005549
DORA
CO
Enumeration date
01/27/2017
Last updated
01/27/2017
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