PURE SPA & WELLNESS NPI 1285094011

NPI Information

NPI: 1285094011
Provider Name: PURE SPA & WELLNESS
Classification: Massage Therapist - 225700000X
Entity Type: Organization
Address:
279 S PURCELL BLVD STE 100
PUEBLO WEST, CO
ZIP 81007
Phone: (719) 582-1432
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PURE SPA & WELLNESS is a massage therapist in Pueblo West, CO. The provider is an individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. PURE SPA & WELLNESS NPI is 1285094011. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

279 S PURCELL BLVD STE 100
PUEBLO WEST, CO
ZIP 81007-083
Phone: (719) 582-1432

The provider's authorized official is Tad Dorsey Childers .
The authorized official title is Medical Massage Therapist and has the following contact phone number (719) 582-1432.

The enumeration date for this NPI number is 3/7/2016 and was last updated on 3/7/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	225700000X	Massage Therapist		MT.0006794	COLORADO	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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