Individual
MRS. NICOLE MARIE STEPHENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
102 E NORTH ST, CORTEZ, CO 81321-3227
(970) 882-8850
Mailing address
102 E NORTH ST, CORTEZ, CO 81321-3227
(970) 882-8850
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
8250
CO
Other
Enumeration date
08/04/2011
Last updated
08/04/2011
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