Individual
JULIE NINIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NCBTMB
Contact information
Practice address
1600 FLORIDA RD, DURANGO, CO 81301-6836
(970) 259-2579
Mailing address
1600 FLORIDA RD, DURANGO, CO 81301-6836
(970) 259-2579
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT.0014919
CO
Other
Enumeration date
07/24/2014
Last updated
07/24/2014
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