Provider Demographics
NPI:1528204013
Name:LYMPHWORKS, LLC
Entity Type:Organization
Organization Name:LYMPHWORKS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:JOY
Authorized Official - Last Name:MCDANIEL
Authorized Official - Suffix:
Authorized Official - Credentials:LMT HTCP, CRMP
Authorized Official - Phone:970-222-9421
Mailing Address - Street 1:PO BOX 796
Mailing Address - Street 2:
Mailing Address - City:FT. COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80522-0796
Mailing Address - Country:US
Mailing Address - Phone:970-222-9421
Mailing Address - Fax:
Practice Address - Street 1:113 STONEY HILL DRIVE
Practice Address - Street 2:SUITE A
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80525-1372
Practice Address - Country:US
Practice Address - Phone:970-222-9421
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-05
Last Update Date:2016-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty