MEDICARE: IMPACT HEALING

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171100000X	Acupuncturist	1796	CO

General Provider Information

NPI Number	:	1851727358
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	IMPACT HEALING

Provider Business Mailing Address
First Line	:	9450 E MISSISSIPPI AVE UNIT B
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80247-2427
Country	:	US
Telephone Number	:	303-588-5176
Fax Number	:

Provider Business Practice Location Address
First Line	:	9450 E MISSISSIPPI AVE UNIT B
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80247-2427
Country	:	US
Telephone Number	:	303-588-5176
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	SASHA MAY
Credential	:	L.AC
Telephone Number	:	720-840-3701

Provider Enumeration Date	:	09/17/2013
Last Update Date	:	09/17/2013

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Directions to “IMPACT HEALING ” Practice Location

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