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Individual

MELANIE PEDDLE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.S., CMT

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
0013398
CO
225700000X
Massage Therapist
13804
HI
225700000X
Massage Therapist
Primary
54225
CA

Other

Enumeration date
10/20/2014
Last updated
10/20/2014
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