Organization
BREKE EWTON
Active
Organization
BREKE EWTON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BREKE EWTON (LICENSED MASSAGE THERAPIST)
(970) 682-2038
Entity
Organization
Contact information
Practice address
3756 S TIMBERLINE RD, NO. 207, FORT COLLINS, CO 80525-3499
(970) 682-2038
Mailing address
3756 S TIMBERLINE RD, NO. 207, FORT COLLINS, CO 80525-3499
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
16731
CO
Other
Enumeration date
12/23/2014
Last updated
12/23/2014
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