Individual
PEGGY L GRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RMT
Contact information
Practice address
5606 N UNION BLVD, COLORADO SPRINGS, CO 80918-1940
(719) 243-4586
Mailing address
5606 N UNION BLVD, COLORADO SPRINGS, CO 80918-1940
(719) 243-4586
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT0008215
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MT0008215
STATE MASSAGE THERAPY REGISTRATION
CO
Enumeration date
10/16/2012
Last updated
10/16/2012
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