Individual
MICHELLE VICTORIA LICHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
219 CENTRAL AVE, KREMMLING, CO 80459
(970) 509-0348
Mailing address
PO BOX 922, KREMMLING, CO 80459-0922
(970) 509-0348
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
CO
Other
Enumeration date
07/02/2008
Last updated
07/02/2008
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