Healthcare Provider Details

I. General information

NPI: 1518848696
Provider Name (Legal Business Name): RITUALS ACUPUNCTURE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/08/2025
Last Update Date: 09/08/2025
Certification Date: 09/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4440 ARAPAHOE AVE STE 215
BOULDER CO
80303-9101
US

IV. Provider business mailing address

4440 ARAPAHOE AVE STE 215
BOULDER CO
80303-9101
US

V. Phone/Fax

Practice location:
  • Phone: 720-505-5353
  • Fax: 720-505-5328
Mailing address:
  • Phone: 720-505-5353
  • Fax: 720-505-5328

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: ESME CODY
Title or Position: ACUPUNCTURIST
Credential: LAC
Phone: 720-505-5323