Individual
LAURENCE C ELDERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
5747 N ACADEMY BLVD, COLORADO SPRINGS, CO 80918-3684
(719) 201-4759
Mailing address
5747 N ACADEMY BLVD, COLORADO SPRINGS, CO 80918-3684
(719) 201-4759
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
713759
CO
Other
Enumeration date
07/06/2022
Last updated
07/06/2022
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