Organization
ABSOLUTE BODY BALANCE
Active
Organization
ABSOLUTE BODY BALANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA PETERSON MT (OWNER/MASSAGE THERAPY)
(719) 502-1477
Entity
Organization
Contact information
Practice address
5921 N NEVADA AVE, COLORADO SPRINGS, CO 80918-3549
(719) 266-8884
Mailing address
5921 N NEVADA AVE, COLORADO SPRINGS, CO 80918-3549
(719) 266-8884
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0010235
CO
Other
Enumeration date
11/02/2013
Last updated
11/02/2013
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