| NPI | 1437715216 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRISCILLA MYCO Owner 719-266-0421 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2019-05-16 |
| Last Update Date | 2019-06-11 |