Provider Demographics
NPI:1750422895
Name:SOULSTICE, LTD.
Entity type:Organization
Organization Name:SOULSTICE, LTD.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:
Authorized Official - First Name:ANN
Authorized Official - Middle Name:B
Authorized Official - Last Name:STAHL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-628-0205
Mailing Address - Street 1:3555 S CLARKSON ST STE 700
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80113-3908
Mailing Address - Country:US
Mailing Address - Phone:303-628-0205
Mailing Address - Fax:303-789-5215
Practice Address - Street 1:3555 S CLARKSON ST STE 700
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80113-3908
Practice Address - Country:US
Practice Address - Phone:303-628-0205
Practice Address - Fax:303-789-5215
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty