Individual
JACQUELINE LANDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2763 BRIARGATE BLVD, COLORADO SPRINGS, CO 80920-3865
(719) 528-2434
Mailing address
7455 ANTELOPE MEADOWS CIR, PEYTON, CO 80831-5017
(719) 640-7194
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
10163
CO
Other
Enumeration date
06/12/2011
Last updated
06/12/2011
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