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KIRSTEN FRASER OLDREAD RMT

>> Massage Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1932491693

Individual Registrant:
 KIRSTEN FRASER OLDREAD RMT
Gender: F
Not Sole Proprietor

Location and contact information for practice:
120 ELK AVE  CRESTED BUTTE, CO 81224 US
Tel: 970-901-2429  Fax: --

Contact information for business:
PO BOX 1962  CRESTED BUTTE, CO 81224-1962 US
Tel: 970-901-2429  Fax: --

Registration Information:
NPI: 1932491693
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225700000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Massage Therapist
CO2033

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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