Provider Demographics
NPI:1376840934
Name:GEHLHAUSEN, ABBY (LMT, LAC)
Entity Type:Individual
Prefix:
First Name:ABBY
Middle Name:
Last Name:GEHLHAUSEN
Suffix:
Gender:F
Credentials:LMT, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7275 S REVERE PKWY
Mailing Address - Street 2:804
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80112-6783
Mailing Address - Country:US
Mailing Address - Phone:206-769-8934
Mailing Address - Fax:
Practice Address - Street 1:7275 S REVERE PKWY
Practice Address - Street 2:804
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80112-6783
Practice Address - Country:US
Practice Address - Phone:206-769-8934
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-17
Last Update Date:2013-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0001860171100000X
CO0014020225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist