| NPI | 1417392804 |
|---|---|
| Former Legal Business Name | JIVA THERAPIES |
| Entity Type | Organization |
| Authorized Contact | JOSHUA LAZAROFF Co Owner 303-880-4416 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: CO MT 13149) |
| Additional Taxonomies | 174400000X Specialist |
| Enumeration Date | 2013-04-30 |
| Last Update Date | 2013-04-30 |