Healthcare Provider Details

I. General information

NPI: 1689073579
Provider Name (Legal Business Name): LASHAY CANADY HHP, REFLEXOLOGIST
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/18/2014
Last Update Date: 08/18/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15200 E GIRARD AVE
AURORA CO
80014-3988
US

IV. Provider business mailing address

13918 E MISSISSIPPI AVE
AURORA CO
80012-3603
US

V. Phone/Fax

Practice location:
  • Phone: 303-886-0673
  • Fax: 720-224-9117
Mailing address:
  • Phone: 303-886-0673
  • Fax: 720-224-9117

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133N00000X
TaxonomyNutritionist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code173C00000X
TaxonomyReflexologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: