Most Relevant Information
Provider Data
| NPI Number: | 1003317397 |
| Provider Name: | JORGE ISAAC MARTINEZ HUERTA LMT, CNMT |
| Entity Type: | Individual |
| Taxonomy Code: | 225700000X |
| Specialty: | Massage Therapist |
| License Number: | MT.0018844 |
Most Important Dates
| Enumeration Date: | 02/22/2018 |
| Last Updated: | 03/17/2018 |
Provider Practice Location
487 WINDCHIME PL STE 314
COLORADO SPRINGS
CO
809191933
Practice Location Phone/Fax
| Phone: | 7193777299 |
| Fax: |
Provider Mailing Location
1903 ALPINE DR
COLORADO SPRINGS
CO
809092117
Provider Mailing Phone/Fax
| Phone: | 7193777299 |
| Fax: |