Kathleen Marie Willow, L.M.T.

NPI #1942445838 in Crestone, Colorado

Provider Information

NPI Number: 1942445838
Entity Type: Individual
Name: Kathleen Marie Willow, L.M.T.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: L.M.T.
Enumeration Date: Dec 8, 2008
Last Updated: Dec 8, 2008

Practice Location

Address: 1798 LONE PINE WAY
City: Crestone
State: Colorado
ZIP Code: 81131
Phone: (719) 256-5469

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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