Soledad Bandilla Thornton

NPI #1972191351 in Monument, Colorado

Provider Information

NPI Number: 1972191351
Entity Type: Individual
Name: Soledad Bandilla Thornton
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Enumeration Date: Jan 1, 2021
Last Updated: Jan 1, 2021

Practice Location

Address: 550 W HIGHWAY 105 STE 100
City: Monument
State: Colorado
ZIP Code: 80132-9119
Phone: (719) 661-6336

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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