Individual
MELISSA GAYLE SIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
630 COFFMAN ST STE B, LONGMONT, CO 80501-8303
(303) 652-3533
Mailing address
630 COFFMAN ST STE B, LONGMONT, CO 80501-8303
(303) 652-3533
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT.0024321
CO
Other
Enumeration date
10/29/2024
Last updated
10/29/2024
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