Provider Demographics
NPI:1770864803
Name:CAIN, AMY J (CMT)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:J
Last Name:CAIN
Suffix:
Gender:F
Credentials:CMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8671 WOLFF CT.
Mailing Address - Street 2:SUITE 220
Mailing Address - City:WESTMINSTER
Mailing Address - State:CO
Mailing Address - Zip Code:80031
Mailing Address - Country:US
Mailing Address - Phone:720-879-3418
Mailing Address - Fax:
Practice Address - Street 1:5390 W 80TH AVE
Practice Address - Street 2:205-A
Practice Address - City:ARVADA
Practice Address - State:CO
Practice Address - Zip Code:80003-1925
Practice Address - Country:US
Practice Address - Phone:720-879-3418
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-02
Last Update Date:2012-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO225700000XOtherMASSAGE THERAPIST