Individual
SAMANTHA DICKENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6321 STONEFLY DR, COLORADO SPRINGS, CO 80924-5209
(719) 308-8497
Mailing address
6321 STONEFLY DR, COLORADO SPRINGS, CO 80924-5209
(719) 308-8497
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT0022660
CO
Other
Enumeration date
07/01/2019
Last updated
07/01/2019
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