Individual
TAVARA LEE COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
1 MERCADO ST STE 150, DURANGO, CO 81301-7311
(970) 375-2273
(970) 375-2207
Mailing address
1 MERCADO ST STE 150, DURANGO, CO 81301-7311
(970) 375-2273
(970) 375-2207
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
6614
CO
Other
Enumeration date
02/09/2010
Last updated
02/09/2010
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