Individual provider · Type 1 NPI

Avery Mika

Massage Therapist · Broomfield, CO

NPI number 1396244802 Active

Practice location

2095 W 6th Ave Ste 115
Broomfield, CO 80020-1879

Call (720) 612-7429 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMT.0021173 (CO)

Massage Therapist: An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

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About NPI 1396244802

Avery Mika's National Provider Identifier is 1396244802, issued on Feb 9, 2018. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Broomfield, CO. The record was last updated on Jun 11, 2019.