Provider Demographics
NPI:1629511142
Name:LINDA CIAMPOLI, LLC
Entity Type:Organization
Organization Name:LINDA CIAMPOLI, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:CIAMPOLI
Authorized Official - Suffix:
Authorized Official - Credentials:LMT, CPD
Authorized Official - Phone:720-316-6074
Mailing Address - Street 1:1850 FOLSOM ST APT 511
Mailing Address - Street 2:
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80302-5717
Mailing Address - Country:US
Mailing Address - Phone:720-316-6074
Mailing Address - Fax:
Practice Address - Street 1:1850 FOLSOM ST APT 511
Practice Address - Street 2:
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80302-5717
Practice Address - Country:US
Practice Address - Phone:720-316-6074
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-12-01
Last Update Date:2016-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty