San Juan River Rehabilitation LLC

NPI #1437418316 in Pagosa Springs, Colorado

Provider Information

NPI Number: 1437418316
Entity Type: Organization
Organization Name: San Juan River Rehabilitation LLC
Primary Specialty: Massage Therapist
Enumeration Date: May 11, 2012
Last Updated: May 11, 2012

Practice Location

Address: 250 HOT SPRINGS BLVD
City: Pagosa Springs
State: Colorado
ZIP Code: 81147-4002
Phone: (505) 947-0112

Authorized Official

Name: MR. DAVID WILLIAM DOLAN, LMT
Title: OWNER
Phone: (505) 947-0112

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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