Provider Demographics
NPI:1003413154
Name:A TOUCH OF WELLNESS
Entity Type:Organization
Organization Name:A TOUCH OF WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:GRAY
Authorized Official - Suffix:
Authorized Official - Credentials:MT
Authorized Official - Phone:303-288-3095
Mailing Address - Street 1:13575 E 104TH AVE UNIT 650
Mailing Address - Street 2:
Mailing Address - City:COMMERCE CITY
Mailing Address - State:CO
Mailing Address - Zip Code:80022-8405
Mailing Address - Country:US
Mailing Address - Phone:303-288-3095
Mailing Address - Fax:
Practice Address - Street 1:13575 E 104TH AVE UNIT 650
Practice Address - Street 2:
Practice Address - City:COMMERCE CITY
Practice Address - State:CO
Practice Address - Zip Code:80022-8405
Practice Address - Country:US
Practice Address - Phone:303-288-3095
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-01
Last Update Date:2020-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty