Provider Demographics
NPI:1396563193
Name:ARTSY HEALER LLC
Entity type:Organization
Organization Name:ARTSY HEALER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, MASSAGE THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:CRISTA
Authorized Official - Middle Name:
Authorized Official - Last Name:DELAGARZA
Authorized Official - Suffix:
Authorized Official - Credentials:LMT, BCTMB
Authorized Official - Phone:303-859-2441
Mailing Address - Street 1:825 S. BROADWAY
Mailing Address - Street 2:C/O MANDALA
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80305
Mailing Address - Country:US
Mailing Address - Phone:303-859-2441
Mailing Address - Fax:
Practice Address - Street 1:825 S. BROADWAY
Practice Address - Street 2:C/O MANDALA
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80305
Practice Address - Country:US
Practice Address - Phone:303-859-2441
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-30
Last Update Date:2024-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty