Individual
MR. JORDAN MCQUADE COBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT, CNMT
Contact information
Practice address
617 N 17TH ST STE 230, COLORADO SPRINGS, CO 80904-3577
(719) 357-9822
Mailing address
3788 RED CANON PL APT B, COLORADO SPRINGS, CO 80904-2316
(979) 220-0704
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT.0025055
CO
Other
Enumeration date
11/28/2022
Last updated
11/28/2022
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