Provider Demographics
NPI:1770859480
Name:INTEGRATIVE BODYWORKS LLC
Entity Type:Organization
Organization Name:INTEGRATIVE BODYWORKS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:R
Authorized Official - Last Name:URWIN
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:303-523-0773
Mailing Address - Street 1:1529 YORK ST
Mailing Address - Street 2:UNIT 200
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80206-1408
Mailing Address - Country:US
Mailing Address - Phone:303-523-0773
Mailing Address - Fax:303-237-5570
Practice Address - Street 1:1529 YORK ST
Practice Address - Street 2:UNIT 200
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80206-1408
Practice Address - Country:US
Practice Address - Phone:303-523-0773
Practice Address - Fax:303-237-5570
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-27
Last Update Date:2012-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty