Individual
MIRANDA TERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, CNMT
Contact information
Practice address
2120 ACADEMY CIR STE F, COLORADO SPRINGS, CO 80909-1674
(502) 802-9166
Mailing address
4034 MALLETTE HTS UNIT 101, COLORADO SPRINGS, CO 80916-4524
(502) 802-9166
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0024735
CO
Other
Enumeration date
03/04/2022
Last updated
03/04/2022
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