Individual
PATRICIA HIGGINBOTHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1445 SHERRI MAR ST, LONGMONT, CO 80501-2408
(340) 642-3610
Mailing address
1445 SHERRI MAR ST, LONGMONT, CO 80501-2408
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0008842
CO
Other
Enumeration date
07/29/2020
Last updated
07/29/2020
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