Individual
MRS. NICHOLE ANNE LUTHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT, CNMT, LPN
Contact information
Practice address
631 N WEBER ST STE 320, COLORADO SPRINGS, CO 80903-1083
(719) 248-4993
Mailing address
9367 BAR B RD, FOUNTAIN, CO 80817-3390
(719) 248-4993
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
PN.0334100
CO
225700000X
Massage Therapist
Primary
MT.0023319
CO
Other
Enumeration date
04/04/2021
Last updated
04/04/2021
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