Individual
KYLIE ECHO MUNTZERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT, CNMT, TYMP
Contact information
Practice address
205 S RACE ST, FOUNTAIN, CO 80817-2309
(719) 339-1386
Mailing address
205 S RACE ST, FOUNTAIN, CO 80817-2309
(719) 339-1386
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT.0023609
CO
Other
Enumeration date
04/15/2021
Last updated
04/15/2021
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