Individual
JOSUE ENMANUEL RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
2130 VICKERS DR STE 119, COLORADO SPRINGS, CO 80918-8129
(719) 828-3574
Mailing address
2130 VICKERS DR STE 119, COLORADO SPRINGS, CO 80918-8129
(719) 828-3574
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0022268
CO
Other
Enumeration date
04/22/2024
Last updated
04/22/2024
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