Transitions Bodywork Clinic Inc.

NPI #1992198261 in Pueblo, Colorado

Provider Information

NPI Number: 1992198261
Entity Type: Organization
Organization Name: Transitions Bodywork Clinic Inc.
Primary Specialty: Massage Therapist
Enumeration Date: Mar 11, 2015
Last Updated: Mar 11, 2015

Practice Location

Address: 2310 S PRAIRIE AVE
City: Pueblo
State: Colorado
ZIP Code: 81005-4801
Phone: (719) 242-7263

Authorized Official

Name: MR. TAD DORSEY CHILDERS, LMT
Title: CEO
Phone: (719) 242-7263

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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