Provider Demographics
NPI:1821329772
Name:EKM ENTERPRISE, INC.
Entity Type:Organization
Organization Name:EKM ENTERPRISE, INC.
Other - Org Name:ELEMENTS THERAPEUTIC MASSAGE SADDLEROCK
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BETH
Authorized Official - Middle Name:
Authorized Official - Last Name:THOMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-680-5200
Mailing Address - Street 1:6140 S GUN CLUB RD UNIT I-2
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80016-5307
Mailing Address - Country:US
Mailing Address - Phone:303-680-5200
Mailing Address - Fax:303-680-2773
Practice Address - Street 1:6140 S GUN CLUB RD UNIT I-2
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80016-5307
Practice Address - Country:US
Practice Address - Phone:303-680-5200
Practice Address - Fax:303-680-2773
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-15
Last Update Date:2010-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty