Individual
JILL BUCKINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RMT
Contact information
Practice address
4740 FLINTRIDGE DR STE 130, COLORADO SPRINGS, CO 80918-4273
(719) 917-1000
(719) 667-1971
Mailing address
3933 SMOKE TREE DR, COLORADO SPRINGS, CO 80920-4144
(719) 515-5455
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0010201
CO
Other
Enumeration date
08/15/2019
Last updated
08/15/2019
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