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Organization
STRUCTURA BODY THERAPIES, LLC
Active
Organization
STRUCTURA BODY THERAPIES, LLC
Active
Parent organization
STRUCTURA INSTITUTE HOLDINGS, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
STRUCTURA INSTITUTE HOLDINGS, LLC
Authorized official
NANCY E PRINCE (COO)
(801) 897-8711
Entity
Organization
Contact information
Practice address
6160 TUTT BLVD STE 102, COLORADO SPRINGS, CO 80923-3503
(801) 897-8711
(385) 333-7202
Mailing address
6160 TUTT BLVD STE 102, COLORADO SPRINGS, CO 80923-3503
(801) 897-8711
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
12/05/2019
Last updated
12/09/2019
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