Organization
BELLA VITA MASSAGE THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALESSANDRA FASOLATO L.M.T. (PRESIDENT)
(719) 930-8768
Entity
Organization
Contact information
Practice address
1819 W COLORADO AVE, COLORADO SPRINGS, CO 80904-3896
(719) 930-8768
Mailing address
1819 W COLORADO AVE, COLORADO SPRINGS, CO 80904-3896
(719) 930-8768
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2834
CO
Other
Enumeration date
02/13/2017
Last updated
02/13/2017
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