Provider Demographics
NPI:1881480333
Name:ABUNDANT WELLNESS LLC
Entity type:Organization
Organization Name:ABUNDANT WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANGIE
Authorized Official - Middle Name:
Authorized Official - Last Name:NGUYEN
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:730-316-3303
Mailing Address - Street 1:5707 DUNRAVEN ST
Mailing Address - Street 2:
Mailing Address - City:GOLDEN
Mailing Address - State:CO
Mailing Address - Zip Code:80403-1105
Mailing Address - Country:US
Mailing Address - Phone:720-316-3303
Mailing Address - Fax:720-776-2484
Practice Address - Street 1:2500 YOUNGFIELD ST STE 5
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80215-1045
Practice Address - Country:US
Practice Address - Phone:720-316-3303
Practice Address - Fax:720-776-2484
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ABUNDANT WELLNESS LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-04-18
Last Update Date:2025-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy