Provider Demographics
NPI:1073715603
Name:BODY TENSEGRITY CLINIC
Entity Type:Organization
Organization Name:BODY TENSEGRITY CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROBIN
Authorized Official - Middle Name:
Authorized Official - Last Name:LEWIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-935-6776
Mailing Address - Street 1:1661 W CANAL CIR
Mailing Address - Street 2:UNIT 311
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80120-5633
Mailing Address - Country:US
Mailing Address - Phone:720-935-6776
Mailing Address - Fax:
Practice Address - Street 1:709 W LITTLETON BLVD
Practice Address - Street 2:SUITE 10
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80120-2365
Practice Address - Country:US
Practice Address - Phone:720-935-6776
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty