Provider Demographics
NPI:1518556570
Name:MAZE, LLC
Entity Type:Organization
Organization Name:MAZE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MARTA
Authorized Official - Middle Name:
Authorized Official - Last Name:TINKEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-926-4930
Mailing Address - Street 1:305 MCCASLIN BLVD STE 6
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:CO
Mailing Address - Zip Code:80027-2930
Mailing Address - Country:US
Mailing Address - Phone:303-926-4930
Mailing Address - Fax:720-996-1410
Practice Address - Street 1:305 MCCASLIN BLVD STE 6
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:CO
Practice Address - Zip Code:80027-2930
Practice Address - Country:US
Practice Address - Phone:303-926-4930
Practice Address - Fax:720-996-1410
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-14
Last Update Date:2021-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty