Individual
STACI KAY NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CMMT
Contact information
Practice address
907 30TH AVE STE 106, GREELEY, CO 80634-5100
(970) 590-3960
Mailing address
907 30TH AVE STE 106, GREELEY, CO 80634-5100
(970) 590-3960
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
04/02/2007
Last updated
07/08/2007
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