Individual
KENDRA LUBIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4612 SHADOWGLEN DR, COLORADO SPRINGS, CO 80918-4239
(719) 930-6536
Mailing address
4612 SHADOWGLEN DR, COLORADO SPRINGS, CO 80918-4239
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT.0009994
CO
Other
Enumeration date
12/01/2017
Last updated
12/01/2017
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