Individual
LEATRISHA BONATI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2137 N ACADEMY BLVD, COLORADO SPRINGS, CO 80909-1507
(719) 659-7339
Mailing address
10024 MORNING VISTA DR, PEYTON, CO 80831-8377
(719) 659-7339
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT.0020316
CO
Other
Enumeration date
06/15/2021
Last updated
06/15/2021
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