Individual
KEVIN BURNLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
5747 N ACADEMY BLVD, COLORADO SPRINGS, CO 80918-3684
(719) 201-4759
Mailing address
5747 N ACADEMY BLVD, COLORADO SPRINGS, CO 80918-3684
(719) 201-4759
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0024420
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0024420
NONE YET
CO
Enumeration date
10/07/2021
Last updated
10/07/2021
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