Individual
KIRSTEN FRASER OLDREAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RMT
Contact information
Practice address
120 ELK AVE, CRESTED BUTTE, CO 81224
(970) 901-2429
Mailing address
PO BOX 1962, CRESTED BUTTE, CO 81224-1962
(970) 901-2429
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2033
CO
Other
Enumeration date
05/12/2011
Last updated
04/04/2012
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