Individual
AMANDA RAE NICKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
10841 CROSSROADS DR STE 17, PARKER, CO 80134-9090
(303) 841-7121
Mailing address
10841 CROSSROADS DR STE 17, PARKER, CO 80134-9090
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
12/06/2019
Last updated
12/06/2019
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