Individual
CODY FRIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1235 LAKE PLAZA DR STE 221, COLORADO SPRINGS, CO 80906-3556
(719) 271-9663
Mailing address
2740 DELIVERANCE DR, COLORADO SPRINGS, CO 80918-1362
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0016541
CO
Other
Enumeration date
04/15/2015
Last updated
04/15/2015
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