Healthcare Provider Details

I. General information

NPI: 1700798212
Provider Name (Legal Business Name): HEATHER CLARA HENSLEY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/21/2026
Last Update Date: 09/21/2026
Certification Date: 09/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8410 WADSWORTH BLVD UNIT A
ARVADA CO
80003-0918
US

IV. Provider business mailing address

7790 W 87TH DR APT K
ARVADA CO
80005-1659
US

V. Phone/Fax

Practice location:
  • Phone: 303-284-9875
  • Fax:
Mailing address:
  • Phone: 720-498-3813
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberMT.0022841
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: