Organization
THE KNOT NURSE LLC
Active
Organization
THE KNOT NURSE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA NICOLE HEINECKE LMT, RN (OWNER/LICENSED MASSAGE THERAPIST)
(719) 238-2059
Entity
Organization
Contact information
Practice address
2524 W COLORADO AVE, COLORADO SPRINGS, CO 80904-3023
(719) 257-3177
Mailing address
2117 W KIOWA ST, COLORADO SPRINGS, CO 80904-3445
(719) 238-2059
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
11/09/2024
Last updated
11/09/2024
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