Provider Demographics
NPI:1689073579
Name:CANADY, LASHAY (HHP, REFLEXOLOGIST)
Entity Type:Individual
Prefix:
First Name:LASHAY
Middle Name:
Last Name:CANADY
Suffix:
Gender:F
Credentials:HHP, REFLEXOLOGIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13918 E MISSISSIPPI AVE
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80012-3603
Mailing Address - Country:US
Mailing Address - Phone:303-886-0673
Mailing Address - Fax:720-224-9117
Practice Address - Street 1:15200 E GIRARD AVE
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80014-3988
Practice Address - Country:US
Practice Address - Phone:303-886-0673
Practice Address - Fax:720-224-9117
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-18
Last Update Date:2014-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist
No173C00000XOther Service ProvidersReflexologist