Provider Demographics
NPI:1063835536
Name:UNIFIED MANUAL THERAPY INC.
Entity Type:Organization
Organization Name:UNIFIED MANUAL THERAPY INC.
Other - Org Name:SHINDOLL'S ACUPUNCTURE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ACUPUNCTURIST
Authorized Official - Prefix:
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:SHINDOLL
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:720-323-2471
Mailing Address - Street 1:1776 S JACKSON ST STE 614
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80210-3819
Mailing Address - Country:US
Mailing Address - Phone:720-323-2471
Mailing Address - Fax:
Practice Address - Street 1:1776 S JACKSON ST STE 614
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80210-3819
Practice Address - Country:US
Practice Address - Phone:720-323-2471
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-03
Last Update Date:2014-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1336171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO0006487OtherREHABILITATION, MASSAGE THERAPY, LYMPHATIC
CO1336OtherACUPUNCTURE