Individual
JORDAN RASHAN BYWATERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6160 TUTT BLVD STE 102, COLORADO SPRINGS, CO 80923-3503
(719) 215-8722
Mailing address
6160 TUTT BLVD STE 102, COLORADO SPRINGS, CO 80923-3503
(719) 215-8722
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT.0022011
CO
Other
Enumeration date
03/18/2020
Last updated
08/11/2020
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