Organization
GODS LION DIVINE MASSAGE & FITNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTIN L JONES (PRESIDENT/PROVIDER)
(719) 354-8347
Entity
Organization
Contact information
Practice address
5446 N ACADEMY BLVD, SUITE 104, COLORADO SPRINGS, CO 80918-3668
(719) 354-8347
(719) 265-5221
Mailing address
5446 N ACADEMY BLVD, SUITE 104, COLORADO SPRINGS, CO 80918-3668
(719) 354-8347
(719) 265-5221
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
11350
CO
Other
Enumeration date
11/09/2016
Last updated
11/09/2016
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