Amanda Rae Nickerson, LMT

NPI #1437796687 in Parker, Colorado

Provider Information

NPI Number: 1437796687
Entity Type: Individual
Name: Amanda Rae Nickerson, LMT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Dec 6, 2019
Last Updated: Dec 6, 2019

Practice Location

Address: 10841 CROSSROADS DR STE 17
City: Parker
State: Colorado
ZIP Code: 80134-9090
Phone: (303) 841-7121

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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