Individual
CYNTHIA MICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
10125 W DARTMOUTH PL, #104, LAKEWOOD, CO 80227-6721
(906) 235-6127
Mailing address
10125 W DARTMOUTH PL, #104, LAKEWOOD, CO 80227-6721
(906) 235-6127
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
0012997
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0012997
MEDICARE
CO
Enumeration date
03/11/2013
Last updated
03/11/2013
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