Individual
KELLEY D GHORASHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
7710 N UNION BLVD STE 100G, COLORADO SPRINGS, CO 80920-4085
(719) 440-2477
Mailing address
2615 CORNWALL CT, COLORADO SPRINGS, CO 80920-5356
(719) 440-2477
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0005467
CO
Other
Enumeration date
09/22/2023
Last updated
09/22/2023
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