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Individual

DAVID EDWARD HENDERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMT., CNMT

Contact information

Practice address
4510 JET WING CIR W, COLORADO SPRINGS, CO 80916-2143
(719) 244-2229
Mailing address
4510 JET WING CIR W, COLORADO SPRINGS, CO 80916-2143
(719) 244-2229

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT0022178
CO

Other

Enumeration date
12/11/2023
Last updated
12/11/2023
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