Individual
DIANE ELIZABETH THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1113 STONEY HILL RD STE C, FORT COLLINS, CO 80525-1373
(970) 493-0555
Mailing address
512 BROWN AVE, FORT COLLINS, CO 80525-1802
(970) 482-7054
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT0005010
CO
Other
Enumeration date
08/11/2020
Last updated
08/11/2020
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