Healthcare Provider Details

I. General information

NPI: 1225829120
Provider Name (Legal Business Name): JANINE L RYCE LMT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/13/2025
Last Update Date: 05/13/2025
Certification Date: 05/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2121 N WEBER ST STE 300
COLORADO SPRINGS CO
80907-6970
US

IV. Provider business mailing address

2019 SUSSEX LN
COLORADO SPRINGS CO
80909-1524
US

V. Phone/Fax

Practice location:
  • Phone: 412-398-1041
  • Fax:
Mailing address:
  • Phone: 412-398-1041
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberMT.0016405
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: