Individual
ROXANNE BOURASSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
127 E LAS ANIMAS ST, COLORADO SPRINGS, CO 80903-4137
(719) 632-5784
Mailing address
350 CRESTONE LN APT 21, COLORADO SPRINGS, CO 80905-6570
(970) 599-1226
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT.0023149
CO
Other
Enumeration date
04/19/2022
Last updated
04/19/2022
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