Organization
TRANSITIONS BODYWORK CLINIC INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TAD DORSEY CHILDERS LMT (CEO)
(719) 242-7263
Entity
Organization
Contact information
Practice address
2310 S PRAIRIE AVE, PUEBLO, CO 81005-4801
(719) 242-7263
Mailing address
2310 S PRAIRIE AVE, PUEBLO, CO 81005-4801
(719) 242-7263
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT.0006794
CO
Other
Enumeration date
03/11/2015
Last updated
03/11/2015
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