Individual
PAM RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T
Contact information
Practice address
155 PRINTERS PKWY, COLORADO SPRINGS, CO 80910-6100
(719) 632-4754
Mailing address
512 SHADY CREST CIR, COLORADO SPRINGS, CO 80916-3948
(915) 252-8804
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT0017001
CO
Other
Enumeration date
07/27/2016
Last updated
07/27/2016
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