Organization
ORANGE SKYE SPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. COURTNEY JO LEONARD (CO-OWNER)
(719) 543-6400
Entity
Organization
Contact information
Practice address
117 W 6TH ST, PUEBLO, CO 81003-3119
(719) 543-6400
Mailing address
117 W 6TH ST, PUEBLO, CO 81003-3119
(719) 543-6400
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
6931
CO
302R00000X
Health Maintenance Organization
Primary
3296
CO
Other
Enumeration date
11/30/2010
Last updated
11/30/2010
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