Organization
TRANSITIONS CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAD D CHILDERS MASSAGE THERAPIST (OWNER)
(719) 947-5846
Entity
Organization
Contact information
Practice address
1056 EAGLERIDGE BLVD, PUEBLO, CO 81008-2159
(719) 947-5846
Mailing address
1041 CYPRESS ST, PUEBLO, CO 81004-2503
(719) 406-0295
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
02/27/2012
Last updated
03/05/2012
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