Individual
CHARLENE BAXLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1235 LAKE PLAZA DR STE 221, COLORADO SPRINGS, CO 80906-3556
(719) 271-9663
Mailing address
1720 GUMTREE CT, COLORADO SPRINGS, CO 80906-7761
(719) 321-5147
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT.0023207
CO
Other
Enumeration date
12/27/2024
Last updated
12/27/2024
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