Individual provider · Type 1 NPI

Kennette Leslie Oldham, MASSAGE THERAPIST

Massage Therapist · Pueblo, CO

NPI number 1285979369 Active

Practice location

126 W D St Ste 100C
Pueblo, CO 81003-4430

Call (719) 250-7675 Map

Fax (719) 545-2807

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X10508 (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 1285979369

Kennette Leslie Oldham, MASSAGE THERAPIST's National Provider Identifier is 1285979369, issued on Nov 30, 2012. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Pueblo, CO. The record was last updated on Nov 30, 2012.