person
Johnathon Brandon Stakely, MASSAGETHERAPY
Massage Therapist in Colorado Springs, Colorado
NPI 1891473286

Johnathon Brandon Stakely is a Massage Therapist based in Colorado Springs, CO. Johnathon Brandon Stakely practices in Colorado Springs, CO and has the professional credentials of MASSAGETHERAPY. The NPI Number for Johnathon Brandon Stakely is 1891473286 and holds a License No. 0024865 (Colorado).

The current practice location address for Johnathon Brandon Stakely is 2860 S Circle Dr # 250I, Colorado Springs, CO and can be reached out via phone at 719-428-7020. You can also correspond with Johnathon Brandon Stakely through the mailing address at 2860 S CIRCLE DR # 250I, COLORADO SPRINGS, CO - 80906-4113 (mailing address contact number: 719-428-7020).

Location: 2860 S Circle Dr # 250I, Colorado Springs, CO, 80906-4113
person
Provider Profile Details
NPI Number
1891473286
Provider Name
Johnathon Brandon Stakely
Credential
MASSAGETHERAPY
Provider Entity Type
Individual
Gender
Male
Address
2860 S Circle Dr # 250I, Colorado Springs, CO, 80906-4113
Phone Number
719-428-7020
Fax Number
Provider Enumeration Date
07/06/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2860 S Circle Dr # 250I
City
State
Zip
80906-4113
Phone Number
719-428-7020
Fax Number
person
Provider Business Mailing Address Details
Address
2860 S Circle Dr # 250I
City
State
Zip
80906-4113
Phone Number
719-428-7020
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
License No.
0024865 (Colorado)
Definition
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.
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