Individual
MS. PAULETTE DAUGHERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, NCMMT
Contact information
Practice address
1651 CAREY AVE STE 1B, CHEYENNE, WY 82001-4423
(307) 256-8348
(307) 432-0079
Mailing address
4005 HAYES AVE, CHEYENNE, WY 82001-2312
(307) 256-8348
(307) 432-0079
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
06 00014838
WY
Other
Enumeration date
07/26/2006
Last updated
07/08/2007
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