Individual
VENASSA SANDOVAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2204 HAGERMAN ST, COLORADO SPRINGS, CO 80904-3741
(719) 331-6901
Mailing address
3145 HEARTHRIDGE CIR, COLORADO SPRINGS, CO 80918-5835
(702) 677-6164
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT.0019938
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MT0019938
COLORADO DEPT OF REGULATORY AGENCIES DIVISION OF PROFESSIONS AND OCCUPATIONS
CO
Enumeration date
05/28/2018
Last updated
05/28/2018
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