Organization
MASSAGE SPACE, CO.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANATOLY V. KOLMAKOV (OWNER)
(972) 612-5363
Entity
Organization
Contact information
Practice address
4152 W SPRING CREEK PKWY STE 116, PLANO, TX 75024-5315
(972) 612-5363
(972) 612-5782
Mailing address
4152 W SPRING CREEK PKWY STE 116, PLANO, TX 75024-5315
(972) 612-5363
(972) 612-5782
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
TX
Other
Enumeration date
11/06/2008
Last updated
07/21/2022
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