Provider Demographics
NPI:1205222403
Name:THESE HANDS WELLNESS LLC
Entity type:Organization
Organization Name:THESE HANDS WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PETER
Authorized Official - Middle Name:S
Authorized Official - Last Name:HALVORSON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:303-953-5200
Mailing Address - Street 1:12567 W CEDAR DR
Mailing Address - Street 2:SUITE 101
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80228-2009
Mailing Address - Country:US
Mailing Address - Phone:303-953-5200
Mailing Address - Fax:303-953-5517
Practice Address - Street 1:12567 W CEDAR DR
Practice Address - Street 2:SUITE 101
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80228-2009
Practice Address - Country:US
Practice Address - Phone:303-953-5200
Practice Address - Fax:303-953-5517
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-14
Last Update Date:2016-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0007207111N00000X
CO0000686171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1750412995OtherNPI
CO1508269556OtherNPI