Pure Spa & Wellness
NPI #1285094011 in Pueblo West, Colorado
Provider Information
- NPI Number
- 1285094011
- Entity Type
- Organization
- Organization Name
- Pure Spa & Wellness
- Primary Specialty
- Massage Therapist
- Enumeration Date
- Mar 7, 2016
- Last Updated
- Mar 7, 2016
Practice Location
- Address
- 279 S PURCELL BLVD STE 100
- City
- Pueblo West
- State
- Colorado
- ZIP Code
- 81007-5083
- Phone
- (719) 582-1432
Authorized Official
- Name
- MR. TAD DORSEY CHILDERS, LCMT
- Title
- MEDICAL MASSAGE THERAPIST
- Phone
- (719) 582-1432
Specialties & Taxonomy Codes
| Specialty |
|---|
| Massage Therapist |
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