Organization
NATURAL EARTH HEALING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY JO NICHOLS LMT (OWNER/THERAPIST)
(719) 623-5874
Entity
Organization
Contact information
Practice address
620 S CASCADE AVE, #130, COLORADO SPRINGS, CO 80903-4039
(719) 632-5784
Mailing address
620 S CASCADE AVE, #130, COLORADO SPRINGS, CO 80903-4039
(719) 632-5784
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
10787
CO
Other
Enumeration date
10/27/2016
Last updated
10/27/2016
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