Individual
TAMMY J LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BCTMB
Contact information
Practice address
4740 FLINTRIDGE DR STE 120, COLORADO SPRINGS, CO 80918-4254
(719) 917-1000
Mailing address
4740 FLINTRIDGE DR STE 130, COLORADO SPRINGS, CO 80918-4273
(719) 917-1000
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
CO
Other
Enumeration date
08/13/2019
Last updated
11/20/2019
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