Provider Demographics
NPI:1558716688
Name:MUSCLE MECHANICS, LLC
Entity Type:Organization
Organization Name:MUSCLE MECHANICS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OFFICE MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:EVAN
Authorized Official - Middle Name:
Authorized Official - Last Name:EASTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-568-9650
Mailing Address - Street 1:6099 S QUEBEC ST
Mailing Address - Street 2:SUITE 103
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80111-4545
Mailing Address - Country:US
Mailing Address - Phone:303-568-9650
Mailing Address - Fax:
Practice Address - Street 1:6099 S QUEBEC ST
Practice Address - Street 2:SUITE 103
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80111-4545
Practice Address - Country:US
Practice Address - Phone:303-568-9650
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-26
Last Update Date:2016-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO6372111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty