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Organization

MASSAGE & BODYWORK

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KIMM MICHELLE ANDERSON LMT (LMT)
(719) 243-8944
Entity
Organization

Contact information

Practice address
2590 PALMER PARK BLVD, COLORADO SPRINGS, CO 80909-3057
(719) 243-8944
Mailing address
2590 PALMER PARK BLVD, COLORADO SPRINGS, CO 80909-3057
(719) 243-8944

Taxonomy

Speciality
Code
Description
License number
State
173C00000X
Reflexologist
Primary
7655
CO

Other

Enumeration date
05/01/2015
Last updated
05/01/2015
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