Individual
SALLY GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
420 BREEZE ST, CRAIG, CO 81625-2620
(970) 824-2483
(970) 824-2483
Mailing address
1984 PINE RIDGE TRL, CRAIG, CO 81625-8700
(970) 824-2483
(970) 824-2483
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
1564
CO
Other
Enumeration date
07/22/2015
Last updated
07/22/2015
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