Individual
DAVID ABBOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NMT HMS SMT LMT TIC
Contact information
Practice address
2120 ACADEMY CIR STE F, COLORADO SPRINGS, CO 80909-1674
(719) 373-3399
Mailing address
2120 ACADEMY CIR STE F, COLORADO SPRINGS, CO 80909-1674
(719) 373-3399
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
—
—
225700000X
Massage Therapist
Primary
MT.0019317
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
708340
AVAILITY
CO
Enumeration date
01/29/2018
Last updated
10/05/2022
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