Mckenzie Bergstrom

NPI #1265759146 in Parker, Colorado

Provider Information

NPI Number: 1265759146
Entity Type: Individual
Name: Mckenzie Bergstrom
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Massage Therapist
Enumeration Date: Apr 30, 2010
Last Updated: Apr 30, 2010

Practice Location

Address: 18551 E MAINSTREET STE 1B
City: Parker
State: Colorado
ZIP Code: 80134-4951
Phone: (303) 805-1902

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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