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TO THE ROOTS WELLNESS NPI 1306238928


NPI Information

NPI: 1306238928
Provider Name: TO THE ROOTS WELLNESS
Classification: Massage Therapist - 225700000X
Entity Type: Organization
Address:
26291 MAIN ST
CONIFER, CO
ZIP 80433
Phone: (303) 838-0990
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TO THE ROOTS WELLNESS is a massage therapist in Conifer, 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. TO THE ROOTS WELLNESS NPI is 1306238928. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

26291 MAIN ST
CONIFER, CO
ZIP 80433-500
Phone: (303) 838-0990

The provider's authorized official is Willow Geneva Ann Roberts .
The authorized official title is Massage Therapist and has the following contact phone number (303) 838-7294.

The enumeration date for this NPI number is 2/19/2015 and was last updated on 2/19/2015.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1225700000XMassage Therapist0008026COLORADOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1=========MEDICARE UPINCOLORADO

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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