Provider Demographics
NPI:1225482433
Name:DAVIS, ROSEMONDE
Entity Type:Individual
Prefix:
First Name:ROSEMONDE
Middle Name:
Last Name:DAVIS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ROSEMONDE
Other - Middle Name:
Other - Last Name:LIMSOWTIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMT
Mailing Address - Street 1:7507 E JAMISON DR
Mailing Address - Street 2:
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80112-2622
Mailing Address - Country:US
Mailing Address - Phone:303-683-6017
Mailing Address - Fax:
Practice Address - Street 1:7507 E JAMISON DR
Practice Address - Street 2:
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80112-2622
Practice Address - Country:US
Practice Address - Phone:303-683-6017
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-04-14
Last Update Date:2016-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COMT0001682225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist