Individual
ALYSSA MITHCELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2030 35TH AVE STE B, GREELEY, CO 80634-3944
(370) 330-3554
Mailing address
232 42ND AVE, GREELEY, CO 80634-1104
(970) 301-9290
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT0021786
CO
Other
Enumeration date
06/24/2019
Last updated
06/24/2019
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