Individual
SAVANNAH BACA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
9475 BRIAR VILLAGE PT, SUITE 154, COLORADO SPRINGS, CO 80920-7901
(719) 264-9500
Mailing address
11660 CRANSTON DR, PEYTON, CO 80831-6800
(719) 264-9500
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT.0003318
CO
Other
Enumeration date
02/22/2016
Last updated
02/22/2016
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