Provider Demographics
NPI:1710398722
Name:UNIFIED MANUAL THERAPY INC.
Entity Type:Organization
Organization Name:UNIFIED MANUAL THERAPY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANUAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:SHINDOLL
Authorized Official - Suffix:
Authorized Official - Credentials:MT
Authorized Official - Phone:303-332-6275
Mailing Address - Street 1:1776 S JACKSON ST STE 614
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80210-3819
Mailing Address - Country:US
Mailing Address - Phone:303-332-6275
Mailing Address - Fax:
Practice Address - Street 1:1776 S JACKSON ST STE 614
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80210-3819
Practice Address - Country:US
Practice Address - Phone:303-332-6275
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-13
Last Update Date:2014-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
172M00000X, 225C00000X
COMT 0006487225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Multi-Specialty
No172M00000XOther Service ProvidersMechanotherapistGroup - Multi-Specialty
No225C00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation CounselorGroup - Multi-Specialty