Individual
MELODY MARIA MICHEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
612 LESSER DR, FORT COLLINS, CO 80524-3220
(970) 567-9998
Mailing address
612 LESSER DR, FORT COLLINS, CO 80524-3220
(970) 567-9998
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2575
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2575
MASSAGE THERAPY LICENSE
CO
Enumeration date
09/15/2010
Last updated
10/14/2021
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