Individual
MRS. NICHOLE ELIZABETH FOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.M.T.
Contact information
Practice address
128 W 14TH ST, SUITE B #4, DURANGO, CO 81301-5100
(970) 903-1790
Mailing address
589 HIGH LLAMA LN, DURANGO, CO 81301-6886
(970) 903-1790
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
11527
CO
Other
Enumeration date
04/05/2012
Last updated
04/26/2012
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