Individual
RYAN ADAM DICAMILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
222 S NEVADA AVE, MONTROSE, CO 81401-4234
(970) 249-6578
(970) 249-5775
Mailing address
222 S NEVADA AVE, MONTROSE, CO 81401-4234
(970) 249-6578
(970) 249-5775
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT.0018644
CO
Other
Enumeration date
04/20/2018
Last updated
04/20/2018
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