Provider Demographics
NPI:1285017152
Name:WRIGHT, AMBER (LMT)
Entity Type:Individual
Prefix:
First Name:AMBER
Middle Name:
Last Name:WRIGHT
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:7601 BURNING TREE DR
Mailing Address - Street 2:101
Mailing Address - City:FRANKTOWN
Mailing Address - State:CO
Mailing Address - Zip Code:80116-9503
Mailing Address - Country:US
Mailing Address - Phone:303-688-1111
Mailing Address - Fax:720-459-7019
Practice Address - Street 1:9671 W CHATFIELD AVE UNIT E
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80128-9503
Practice Address - Country:US
Practice Address - Phone:720-560-3466
Practice Address - Fax:303-688-3706
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-09
Last Update Date:2017-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO11510225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist