Individual
MELINDA CICOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
304 DUESENBERG LN, FORT COLLINS, CO 80524-3236
(970) 388-7293
Mailing address
304 DUESENBERG LN, FORT COLLINS, CO 80524-3236
(970) 388-7293
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
10920
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10920
DORA
CO
Enumeration date
09/22/2016
Last updated
09/22/2016
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