Individual
MRS. MIZUE MIKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
422 ELBERT ST STE D, CASTLE ROCK, CO 80104-2411
(540) 808-3479
Mailing address
564 HANGING ROCK PL, CASTLE ROCK, CO 80108-7452
(540) 808-3479
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
MA47627
FL
225700000X
Massage Therapist
Primary
MT0020612
CO
Other
Enumeration date
06/13/2008
Last updated
03/27/2020
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