Individual
ABIGAIL LOIS WIGGINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
116 W HARVARD ST, FORT COLLINS, CO 80525-2185
(406) 381-3560
Mailing address
PO BOX 1226, WELLINGTON, CO 80549-1226
(406) 381-3560
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT.0019211
CO
Other
Enumeration date
03/04/2019
Last updated
03/04/2019
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