Individual
CRYSTAL BEARD-ODOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2924 BEACON ST STE A, COLORADO SPRINGS, CO 80907-6195
(719) 301-9802
Mailing address
2214 GREENWICH CIR W, COLORADO SPRINGS, CO 80909-1622
(719) 310-1501
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT.0022637
CO
Other
Enumeration date
08/18/2022
Last updated
03/22/2023
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