Individual
ELIZABETH COCKRILL WARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
264 CODY LN, BASALT, CO 81621-9106
(970) 927-2532
Mailing address
PO BOX 4006, BASALT, CO 81621-4006
(970) 309-0976
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT - 5540
CO
Other
Enumeration date
09/21/2010
Last updated
09/21/2010
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