Provider Demographics
NPI:1669794756
Name:HOLISTIC BODYWORKS DENVER
Entity type:Organization
Organization Name:HOLISTIC BODYWORKS DENVER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:MRS
Authorized Official - First Name:STEPHANI
Authorized Official - Middle Name:LYN
Authorized Official - Last Name:HUNTER
Authorized Official - Suffix:
Authorized Official - Credentials:CMT
Authorized Official - Phone:720-291-0556
Mailing Address - Street 1:4750 W 37TH AVE UNIT 15
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80212-2084
Mailing Address - Country:US
Mailing Address - Phone:720-291-0556
Mailing Address - Fax:
Practice Address - Street 1:4110 TENNYSON ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80212-2117
Practice Address - Country:US
Practice Address - Phone:720-291-0556
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-17
Last Update Date:2010-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171W00000XOther Service ProvidersContractorGroup - Single Specialty