Individual
CHASE NICHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1502 E MIAMI ST., MONTROSE, CO 81401
(303) 489-2316
Mailing address
PO BOX 1262, CRESTONE, CO 81131-1302
(303) 489-2316
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0009989
CO
Other
Enumeration date
12/08/2020
Last updated
12/08/2020
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