Individual
NELLY VITORIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1690 30TH ST, BOULDER, CO 80301-1034
(303) 443-0496
(303) 447-2741
Mailing address
1630 30TH ST, STE. A, BOULDER, CO 80301-1044
(303) 263-2661
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT.0011699
CO
Other
Enumeration date
08/04/2016
Last updated
11/08/2019
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