Provider Demographics
NPI:1265286629
Name:ROCKIES THERAPEUTIC BODYWORKS AND MASSAGE LTD
Entity type:Organization
Organization Name:ROCKIES THERAPEUTIC BODYWORKS AND MASSAGE LTD
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/LMT
Authorized Official - Prefix:
Authorized Official - First Name:ILIANA
Authorized Official - Middle Name:
Authorized Official - Last Name:CRUZ
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:720-713-1909
Mailing Address - Street 1:5944 S KIPLING PKWY STE 202
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80127-2590
Mailing Address - Country:US
Mailing Address - Phone:720-713-1909
Mailing Address - Fax:720-228-0454
Practice Address - Street 1:5944 S KIPLING PKWY STE 202
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80127-2590
Practice Address - Country:US
Practice Address - Phone:720-713-1909
Practice Address - Fax:720-228-0454
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-12
Last Update Date:2024-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty