Organization
STRUCTURE THERAPEUTIC MASSAGE & BODYWORK, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDNA JEANETTE FALU-BISHOP (PRESIDENT/MASSAGE THERAPIST)
(719) 271-7931
Entity
Organization
Contact information
Practice address
2107 TEMPLETON GAP RD, SUITE D., COLORADO SPRINGS, CO 80907-7100
(719) 271-7931
Mailing address
2107 TEMPLETON GAP RD, SUITE D., COLORADO SPRINGS, CO 80907-7100
(719) 271-7931
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
5944
CO
Other
Enumeration date
09/21/2010
Last updated
09/22/2010
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