Individual provider · Type 1 NPI

Johnathon Brandon Stakely, MASSAGE THERAPY

Massage Therapist · Colorado Springs, CO

NPI number 1891473286 Active

Practice location

2860 S Circle Dr # 250I
Colorado Springs, CO 80906-4113

Call (719) 428-7020 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X0024865 (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 1891473286

Johnathon Brandon Stakely, MASSAGE THERAPY's National Provider Identifier is 1891473286, issued on Jul 6, 2023. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Colorado Springs, CO. The record was last updated on Oct 22, 2024.