Individual
MELISSA HOLLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
130 W 2ND STREET, SUITE 5, SALIDA, CO 81201
(719) 371-6214
Mailing address
16536 ROCKY MOUNTAIN ROAD, SALIDA, CO 81201
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT.0018599
CO
Other
Enumeration date
10/11/2016
Last updated
10/11/2016
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