Provider Demographics
NPI:1700268687
Name:ANNA'S BODY WORK LLC
Entity Type:Organization
Organization Name:ANNA'S BODY WORK LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MASSAGE THERAPIST
Authorized Official - Prefix:MISS
Authorized Official - First Name:ANNA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:ZIMMERLI
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:720-384-8390
Mailing Address - Street 1:8251 JELLISON ST.
Mailing Address - Street 2:
Mailing Address - City:ARRADA
Mailing Address - State:CO
Mailing Address - Zip Code:80005
Mailing Address - Country:US
Mailing Address - Phone:720-384-8390
Mailing Address - Fax:
Practice Address - Street 1:8671 WOLFE CT. SUITE 220A
Practice Address - Street 2:
Practice Address - City:WESTMINISTER
Practice Address - State:CO
Practice Address - Zip Code:80031
Practice Address - Country:US
Practice Address - Phone:720-384-8390
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-26
Last Update Date:2015-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO11343225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty