Individual
SUSAN LYNN RISSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MT
Contact information
Practice address
1775 S 8TH ST, COLORADO SPRINGS, CO 80905-7936
(719) 477-6870
Mailing address
1217 N CEDAR ST, COLORADO SPRINGS, CO 80903-2701
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
2410
CO
Other
Enumeration date
11/30/2010
Last updated
11/30/2010
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