Individual
ANNIE GRACE YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, LNMT, CCT
Contact information
Practice address
4740 FLINTRIDGE DR STE 130, COLORADO SPRINGS, CO 80918-4273
(719) 917-1000
Mailing address
4320 COOLWATER DR, COLORADO SPRINGS, CO 80916-5542
(719) 922-5300
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0023808
CO
Other
Enumeration date
03/09/2021
Last updated
03/09/2021
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