Miranda Terry, LMT, CNMT
Massage Therapist in Colorado Springs, CO. Individual provider (NPI-1).
NPI number1871240366
StatusActive
Last updated in NPPESMar 4, 2022
Details
- NPI
- 1871240366
- Entity type
- Individual (NPI-1)
- Name
- Miranda Terry
- Credential
- LMT, CNMT
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 4, 2022
- Certification date
- Mar 4, 2022
- Last updated
- Mar 4, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | 0024735 | CO | Yes |
Practice location
2120 Academy Cir Ste FColorado Springs, CO 80909-1674
Phone 502-802-9166
Mailing address
4034 Mallette Hts Unit 101Colorado Springs, CO 80916-4524
Phone 502-802-9166
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