Individual
LORI L DOE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, CNMT
Contact information
Practice address
6216 CALICO PATCH HTS, COLORADO SPRINGS, CO 80923-5809
(719) 360-1611
Mailing address
6216 CALICO PATCH HTS, COLORADO SPRINGS, CO 80923-5809
(719) 360-1611
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
708498
CO
Other
Enumeration date
03/15/2009
Last updated
03/18/2009
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