Individual
ROBERTA JEAN EICKMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
1911 MAIN AVE STE 255, DURANGO, CO 81301-5083
(970) 799-1632
Mailing address
325 TROUT SPRINGS TRL, DURANGO, CO 81303-8096
(970) 259-2028
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
NA
CO
Other
Enumeration date
05/18/2007
Last updated
07/08/2007
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