Individual
TRISTA WENDY LICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7350 E PROGRESS PL STE 201, GREENWOOD VILLAGE, CO 80111-2135
(720) 772-7622
Mailing address
5437 S KING ST, LITTLETON, CO 80123-2910
(303) 495-0878
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA.0015075
CO
Other
Enumeration date
12/07/2021
Last updated
12/07/2021
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