Individual
TIMOTHY TERRELL CORNER JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MASSAGE THERAPIST
Contact information
Practice address
6015 LEHMAN DR, COLORADO SPRINGS, CO 80918-3432
(719) 304-1932
Mailing address
7931 GOLDENRAY PL, COLORADO SPRINGS, CO 80908-5076
(719) 304-1932
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT.0004572
CO
Other
Enumeration date
12/05/2024
Last updated
12/05/2024
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