Individual
DARA SCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
625 RUDD AVE, CANON CITY, CO 81212-3353
(907) 602-4246
Mailing address
625 RUDD AVE, CANON CITY, CO 81212-3353
(907) 602-4246
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT.0024783
CO
Other
Enumeration date
03/01/2022
Last updated
03/01/2022
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