PUEBLO MASSAGE THERAPY LLC NPI 1992373021

NPI Information

PUEBLO MASSAGE THERAPY LLC is a massage therapist in Pueblo, CO. The provider is an individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. PUEBLO MASSAGE THERAPY LLC NPI is 1992373021. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1401 FORTINO BLVD STE B
PUEBLO, CO
ZIP 81008-034
Phone: (719) 582-9446

The provider's authorized official is Tracey Walker Nicholls .
The authorized official title is Managing Member and has the following contact phone number (719) 396-5375.

The enumeration date for this NPI number is 6/15/2021 and was last updated on 6/15/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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