Individual
KRISTINA LABOUNTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
914 YALE AVE, BUENA VISTA, CO, CO 81211
(719) 239-1728
Mailing address
PO BOX 1643, BUENA VISTA, CO 81211-1643
(719) 239-1728
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT.0022900
CO
Other
Enumeration date
08/30/2019
Last updated
08/30/2019
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