Individual
NICHOLE CASE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.M.T.
Contact information
Practice address
1260 S HOVER ST STE D, LONGMONT, CO 80501-7925
(970) 399-0811
Mailing address
1260 S HOVER ST STE D, LONGMONT, CO 80501-7925
(970) 390-8116
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT0011772
CO
Other
Enumeration date
02/17/2014
Last updated
02/17/2014
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