Provider Demographics
NPI:1942571534
Name:PAIZ, DORIS JUNE (RMT)
Entity Type:Individual
Prefix:
First Name:DORIS
Middle Name:JUNE
Last Name:PAIZ
Suffix:
Gender:F
Credentials:RMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10551 GARFIELD ST
Mailing Address - Street 2:
Mailing Address - City:THORNTON
Mailing Address - State:CO
Mailing Address - Zip Code:80233-1574
Mailing Address - Country:US
Mailing Address - Phone:303-420-4161
Mailing Address - Fax:303-420-4161
Practice Address - Street 1:5275 MARSHALL ST
Practice Address - Street 2:202
Practice Address - City:ARVADA
Practice Address - State:CO
Practice Address - Zip Code:80002-3900
Practice Address - Country:US
Practice Address - Phone:303-420-4161
Practice Address - Fax:303-420-4161
Is Sole Proprietor?:No
Enumeration Date:2012-01-13
Last Update Date:2012-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO12737225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist