Individual
KATHRYN MANNERBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2924 BEACON ST STE A, COLORADO SPRINGS, CO 80907-6195
(719) 597-5131
Mailing address
2924 BEACON ST STE A, COLORADO SPRINGS, CO 80907-6195
(719) 597-5131
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT.0003575
CO
Other
Enumeration date
12/29/2015
Last updated
12/29/2015
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