Organization
PEDIATRIC HOLISTIC WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA MARGRAVE (OWNER)
(719) 510-5302
Entity
Organization
Contact information
Practice address
635 SOUTHPOINTE CT STE 145, COLORADO SPRINGS, CO 80906-3877
(719) 510-5302
Mailing address
635 SOUTHPOINTE CT STE 145, COLORADO SPRINGS, CO 80906-3877
(719) 510-5302
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
376J00000X
Homemaker
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
01/13/2020
Last updated
11/15/2021
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