Organization
COLORADO PREMIER BODYWORK
Active
Parent organization
COLORADO PREMIER BODYWORK
Other names
Structura Premier Bodywork
Organization subpart
Yes
Provider details
NPI number
Legal business name
COLORADO PREMIER BODYWORK
Authorized official
NANCY K POUR-BAKHTIAR LMT (OWNER)
(719) 215-8722
Entity
Organization
Contact information
Practice address
5265 N ACADEMY BLVD STE 3300, COLORADO SPRINGS, CO 80918-4082
(719) 215-8722
Mailing address
5265 N ACADEMY BLVD STE 3300, COLORADO SPRINGS, CO 80918-4082
(719) 215-8722
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
10/22/2020
Last updated
10/22/2020
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