Individual
JUSTIN MCDONALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT, HBS, CFSC
Contact information
Practice address
4740 FLINTRIDGE DR STE 130, COLORADO SPRINGS, CO 80918-4273
(719) 917-1000
Mailing address
3028 DELIVERANCE DR, COLORADO SPRINGS, CO 80918-1675
(815) 540-1688
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT.0022782
CO
Other
Enumeration date
07/30/2020
Last updated
07/30/2020
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