Individual
MRS. HEATHER ELIZABETH LUSSENDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RMT, CNMT
Contact information
Practice address
317 E SAN RAFAEL ST, COLORADO SPRINGS, CO 80903
(719) 321-3076
Mailing address
317 E SAN RAFAEL ST, COLORADO SPRINGS, CO 80903
(719) 321-3076
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
9862
CO
Other
Enumeration date
09/07/2012
Last updated
09/07/2012
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