Provider Demographics
NPI:1750866521
Name:GOULD, PIPER (LMT)
Entity Type:Individual
Prefix:
First Name:PIPER
Middle Name:
Last Name:GOULD
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8229 S STEELE CT
Mailing Address - Street 2:
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80122-3651
Mailing Address - Country:US
Mailing Address - Phone:203-848-5146
Mailing Address - Fax:
Practice Address - Street 1:3055 ROSLYN ST UNIT 250
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80238-2778
Practice Address - Country:US
Practice Address - Phone:720-553-2750
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-27
Last Update Date:2020-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0007567225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist