Individual
MEGAN ASHLEY WHITED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2120 ACADEMY CIR STE F, COLORADO SPRINGS, CO 80909-1674
(719) 493-2320
Mailing address
3043 SHIKRA VW, COLORADO SPRINGS, CO 80916-5997
(719) 493-2320
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0021369
CO
Other
Enumeration date
01/03/2021
Last updated
01/03/2021
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