Individual
MIKAYLA M AVILA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2121 E SAINT VRAIN ST APT 6, COLORADO SPRINGS, CO 80909-4757
(218) 849-0100
Mailing address
2121 E SAINT VRAIN ST APT 6, COLORADO SPRINGS, CO 80909-4757
(218) 849-0100
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT.0023246
CO
Other
Enumeration date
11/02/2021
Last updated
11/02/2021
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