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Individual

JORGE ISAAC MARTINEZ HUERTA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMT, CNMT

Contact information

Practice address
487 WINDCHIME PL STE 314, COLORADO SPRINGS, CO 80919-1933
(719) 377-7299
Mailing address
1903 ALPINE DR, COLORADO SPRINGS, CO 80909-2117
(719) 377-7299

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT.0018844
CO

Other

Enumeration date
02/22/2018
Last updated
03/17/2018
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