Healthcare Provider Details

I. General information

NPI: 1922366889
Provider Name (Legal Business Name): HEALTH CONNECTIONS OF CASTLE ROCK, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/30/2012
Last Update Date: 04/30/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

323 METZLER DR #105
CASTLE ROCK CO
80104
US

IV. Provider business mailing address

88 N BAY BLVD
SPRING TX
77380-1070
US

V. Phone/Fax

Practice location:
  • Phone: 303-663-3702
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State

VIII. Authorized Official

Name: KRISTIN JOHNSON
Title or Position: OWNER
Credential:
Phone: 916-765-0910