Individual
STACI WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
11880 UPHAM ST, SUITE F, BROOMFIELD, CO 80020-2785
(720) 227-2667
Mailing address
12127 HUDSON CT, THORNTON, CO 80241-4001
(720) 227-2667
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
1598
CO
Other
Enumeration date
04/19/2009
Last updated
01/29/2016
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