Healthcare Provider Details

I. General information

NPI: 1508785924
Provider Name (Legal Business Name): GRIP STRENGTH SPORTS THERAPY & MASSAGE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/10/2026
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3510 GALLEY RD STE 102
COLORADO SPRINGS CO
80909
US

IV. Provider business mailing address

3510 GALLEY RD STE 102
COLORADO SPRINGS CO
80909-4353
US

V. Phone/Fax

Practice location:
  • Phone: 719-859-7111
  • Fax:
Mailing address:
  • Phone: 719-859-7111
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State

VIII. Authorized Official

Name: DEBORAH JEAN KERNES-NICHOLSON
Title or Position: OWNER
Credential: LMT
Phone: 719-859-7111