Individual
KATHLEEN MARIE HINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSOTR, NCTMB
Contact information
Practice address
19 OLD TOWN SQ, FORT COLLINS, CO 80524-2471
(970) 310-7789
(970) 482-0251
Mailing address
19 OLD TOWN SQ, FORT COLLINS, CO 80524-2471
(970) 310-7789
(970) 482-0251
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2914
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2914
STATE OF COLORADO DEPARTMENT OF REGULATORY AGENCIES
CO
Enumeration date
03/01/2012
Last updated
03/01/2012
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