Individual
KENNETH LERO STAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RMT
Contact information
Practice address
115 N TEJON ST, SUITE 110, COLORADO SPRINGS, CO 80903-1405
(719) 231-6430
Mailing address
2430 N TEJON ST, COLORADO SPRINGS, CO 80907-6835
(719) 231-6429
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
6517
CO
Other
Enumeration date
05/02/2013
Last updated
05/02/2013
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