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ASHLEY BRISTOL LMT
>> Massage Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersRegistrant NPI Number: 1588122071
Individual Registrant: ASHLEY BRISTOL LMT
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
329 E PLATTE AVE FORT MORGAN, CO 80701-3172 US
Tel: 970-768-7713 Fax: --
Tel: 970-768-7713 Fax: --
Contact information for business:
329 E PLATTE AVE FORT MORGAN, CO 80701-3172 US
Tel: 970-768-7713 Fax: --
Tel: 970-768-7713 Fax: --
Registration Information:
NPI: 1588122071
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 225700000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Massage Therapist | CO | MT.0018349 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| MASSAGE THERAPIST | MT.0018349 | CO | 01 |
