Healthcare Provider Details

I. General information

NPI: 1003771874
Provider Name (Legal Business Name): MURANDA VOGT LMT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/23/2025
Last Update Date: 12/23/2025
Certification Date: 12/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2897 MAPLETON AVE STE 100
BOULDER CO
80301-1112
US

IV. Provider business mailing address

701 ARAPAHOE AVE
BOULDER CO
80302-5919
US

V. Phone/Fax

Practice location:
  • Phone: 720-263-0035
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number0026489
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: