Individual
MRS. LISA M GALLEGOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
7620 W HWY 50, SALIDA, CO 81201-9344
(719) 539-5272
Mailing address
944 E RAINBOW BLVD STE 106, SALIDA, CO 81201-2971
(719) 221-6940
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
4836
CO
Other
Enumeration date
08/03/2010
Last updated
08/01/2011
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