Individual
MICHELE LEANN VANOORDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MT
Contact information
Practice address
195 S TAMERA AVE, MILLIKEN, CO 80543-8042
(970) 213-0430
Mailing address
195 S TAMERA AVE, MILLIKEN, CO 80543-8042
(970) 213-0430
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0021233
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0021233
D.O.R.A.
CO
Enumeration date
05/17/2022
Last updated
05/17/2022
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