Individual
LANDY RYAN ROOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RMT
Contact information
Practice address
1495 GARDEN OF THE GODS RD, COLORADO SPRINGS, CO 80907-9441
(912) 536-6811
Mailing address
1920 COLLIER AVE, COLORADO SPRINGS, CO 80909-2135
(912) 536-6811
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0014265
CO
Other
Enumeration date
09/11/2013
Last updated
09/11/2013
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