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NPI Code Detail

MEDICARE: KELLY STOINSKI LMT

MEDICARE: KELLY STOINSKI LMT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225700000XMassage Therapist0015602CO

General Provider Information

NPI Number : 1568048601
Entity Type Code : Individual
Provider Name (Legal Business Name) : KELLY STOINSKI LMT
Provider Business Mailing Address
First Line : 3314 MESA RD
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80904-1036
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3314 MESA RD
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80904-1036
Country : US
Telephone Number : 719-428-2202
Fax Number : 719-213-2250
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/19/2021
Last Update Date : 03/19/2021

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