NPI 1134421969

Orange Skye Spa

Organisation Health Maintenance Organization Pueblo, CO

Practice location

Address: 117 W 6th St, Pueblo, CO 81003-3119
Phone: (719) 543-6400

Authorised official

Name: Courtney Jo Leonard
Title: Co-Owner
Phone: (719) 543-6400

Registered specialties (2)

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X Licence 3296 (CO)

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Massage Therapist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 6931 (CO)

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Registry record

NPI: 1134421969
Entity type: Organization
NPI issued: 30 Nov 2010
Record last updated: 30 Nov 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.