Individual
MISS KAITLYN DANELLE HOLLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
329 BELLEVIEW AVE UNIT B, CRESTED BUTTE, CO 81224-8706
(970) 779-0161
Mailing address
PO BOX 104, GUNNISON, CO 81230-0104
(970) 779-0161
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT.0016384
CO
Other
Enumeration date
12/11/2024
Last updated
12/11/2024
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