Individual
KYLA LEE CHOATE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICENSED MASSAGE THE
Contact information
Practice address
1307 FORTINO BLVD STE A, PUEBLO, CO 81008-2032
(719) 568-5744
Mailing address
725 23RD LN, PUEBLO, CO 81006-1908
(719) 568-5744
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT.0024189
CO
Other
Enumeration date
07/06/2021
Last updated
07/06/2021
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