Individual
CORREEN AVON BALICKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT, CMT
Contact information
Practice address
6979 HOYT CT, ARVADA, CO 80004-1665
(970) 333-7012
Mailing address
6979 HOYT CT, ARVADA, CO 80004-1665
(970) 333-7012
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0007447
CO
Other
Enumeration date
01/08/2018
Last updated
01/08/2018
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