Individual
NAZARETH CELESTE GILLILAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
121 E SWALLOW RD UNIT 115, FORT COLLINS, CO 80525-2697
(970) 673-0892
Mailing address
121 E SWALLOW RD UNIT 115, FORT COLLINS, CO 80525-2697
(970) 673-0892
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT.0018671
CO
Other
Enumeration date
05/11/2017
Last updated
05/11/2017
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