Organization
KNEADING SOULSTICE MASSAGE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BEATRICE R OHARE LMT, CNMT (MEMBER)
(719) 352-9584
Entity
Organization
Contact information
Practice address
495 ANACONDA DR, COLORADO SPRINGS, CO 80919-2044
(719) 352-9584
Mailing address
495 ANACONDA DR, COLORADO SPRINGS, CO 80919-2044
(719) 352-9584
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
10/14/2018
Last updated
12/14/2018
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