Individual
DEVON SCOTTALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
1235 LAKE PLAZA DR STE 230, COLORADO SPRINGS, CO 80906-3556
(719) 271-9663
Mailing address
1235 LAKE PLAZA DR STE 230, COLORADO SPRINGS, CO 80906-3556
(719) 271-9663
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT.0022179
CO
Other
Enumeration date
05/01/2019
Last updated
05/01/2019
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