Carla Young, LCMT

NPI #1164768164 in Cripple Creek, Colorado

Provider Information

NPI Number: 1164768164
Entity Type: Individual
Name: Carla Young, LCMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: LCMT
Enumeration Date: Dec 19, 2012
Last Updated: Dec 19, 2012

Practice Location

Address: 151 E. BENNETT AVE.
City: Cripple Creek
State: Colorado
ZIP Code: 80813
Phone: (719) 689-3502

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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