Provider Demographics
NPI:1346525565
Name:GODLEWSKI, KASHIA M (LMT)
Entity Type:Individual
Prefix:MS
First Name:KASHIA
Middle Name:M
Last Name:GODLEWSKI
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8620 W OHIO PL
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80226-4268
Mailing Address - Country:US
Mailing Address - Phone:303-936-7197
Mailing Address - Fax:303-935-7189
Practice Address - Street 1:8620 W OHIO PL
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80226-4268
Practice Address - Country:US
Practice Address - Phone:303-936-7197
Practice Address - Fax:303-935-7189
Is Sole Proprietor?:No
Enumeration Date:2011-10-19
Last Update Date:2011-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2267225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist