Individual provider · Type 1 NPI

Sophia Madalena Avila

Massage Therapist · Pueblo, CO

NPI number 1285315218 Active

Practice location

1307 Fortino Blvd Ste A
Pueblo, CO 81008-2377

Call (719) 582-1010 Map

Mailing address

2840 Lancaster Dr
Pueblo, CO 81005-3147

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMT.0025544 (CO)

Massage Therapist: 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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About NPI 1285315218

Sophia Madalena Avila's National Provider Identifier is 1285315218, issued on Jul 31, 2023. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Pueblo, CO. The record was last updated on Jul 31, 2023.