Individual
MARY JO NICHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
127 E LAS ANIMAS ST, COLORADO SPRINGS, CO 80903-4137
(970) 846-7517
Mailing address
127 E LAS ANIMAS ST, COLORADO SPRINGS, CO 80903-4137
(970) 846-7517
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
10787
CO
Other
Enumeration date
12/06/2010
Last updated
10/02/2019
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