Provider Demographics
NPI:1366865461
Name:TRUE LLC
Entity Type:Organization
Organization Name:TRUE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARJORY
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:PHILIPPON
Authorized Official - Suffix:
Authorized Official - Credentials:CLT, NCMT
Authorized Official - Phone:970-385-6708
Mailing Address - Street 1:3270 E 4TH AVE
Mailing Address - Street 2:
Mailing Address - City:DURANGO
Mailing Address - State:CO
Mailing Address - Zip Code:81301-6002
Mailing Address - Country:US
Mailing Address - Phone:970-769-4653
Mailing Address - Fax:
Practice Address - Street 1:1537 FLORIDA RD
Practice Address - Street 2:SUITE 105
Practice Address - City:DURANGO
Practice Address - State:CO
Practice Address - Zip Code:81301-5792
Practice Address - Country:US
Practice Address - Phone:970-385-6708
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-24
Last Update Date:2014-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty