Provider Demographics
NPI:1669849188
Name:ENCOMPASS MASSAGE LLC
Entity Type:Organization
Organization Name:ENCOMPASS MASSAGE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / LICENSED MASSAGE THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:JILL
Authorized Official - Middle Name:
Authorized Official - Last Name:DENKINGER
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:303-829-8259
Mailing Address - Street 1:9048 VANCE ST, APT 309
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CO
Mailing Address - Zip Code:80021
Mailing Address - Country:US
Mailing Address - Phone:303-829-8259
Mailing Address - Fax:
Practice Address - Street 1:9048 VANCE ST APT 309
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:CO
Practice Address - Zip Code:80021-7009
Practice Address - Country:US
Practice Address - Phone:303-829-8259
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-01
Last Update Date:2015-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COMT.0015341261QP3300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP3300XAmbulatory Health Care FacilitiesClinic/CenterPain