Individual
NICHOLAS RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MT
Contact information
Practice address
630 15TH AVE STE 102, LONGMONT, CO 80501-2764
(303) 651-2525
Mailing address
12572 MARIA CIR, BROOMFIELD, CO 80020-5336
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT.0023553
CO
Other
Enumeration date
07/29/2020
Last updated
07/29/2020
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