Individual
NISHA HAWK TILTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
123 E COSTILLA ST, COLORADO SPRINGS, CO 80903-2101
(719) 634-6964
Mailing address
1024 HANS BRINKER ST, COLORADO SPRINGS, CO 80907-4010
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT.0022620
CO
Other
Enumeration date
05/21/2019
Last updated
05/21/2019
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