Provider Demographics
NPI:1265875660
Name:NATURAL HEALINGCENTER FOR PAIN FREE LIVING, LLC
Entity type:Organization
Organization Name:NATURAL HEALINGCENTER FOR PAIN FREE LIVING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:PENELOPE
Authorized Official - Middle Name:M
Authorized Official - Last Name:WELLS
Authorized Official - Suffix:
Authorized Official - Credentials:OMD,LAC
Authorized Official - Phone:303-597-9595
Mailing Address - Street 1:13751 E YALE AVE
Mailing Address - Street 2:#A
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80014-7351
Mailing Address - Country:US
Mailing Address - Phone:303-597-9595
Mailing Address - Fax:303-597-9689
Practice Address - Street 1:13751 E YALE AVE
Practice Address - Street 2:#A
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80014-7351
Practice Address - Country:US
Practice Address - Phone:303-597-9595
Practice Address - Fax:303-597-9689
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-16
Last Update Date:2013-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
111N00000X, 225700000X
CO1280171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty
No111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Multi-Specialty