| NPI | 1598159998 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIE THOMAS Owner 303-642-0376 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: CO MT.0012979) |
| Additional Taxonomies | 173C00000X Reflexologist (Licence: CO MT.0012979) |
| 174400000X Specialist (Licence: CO MT.0012979) | |
| 174H00000X Health Educator (Licence: CO MT.0012979) | |
| 204C00000X Neuromusculoskeletal Medicine, Sports Medicine (Licence: CO MT.0012979) | |
| 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: CO MT.0012979) | |
| 2081N0008X Physical Medicine & Rehabilitation, Neuromuscular Medicine (Licence: CO MT.0012979) | |
| 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine (Licence: CO MT.0012979) | |
| 302F00000X Exclusive Provider Organization | |
| Enumeration Date | 2015-03-24 |
| Last Update Date | 2015-03-24 |