Healthcare Provider Details

I. General information

NPI: 1174488167
Provider Name (Legal Business Name): TALIAH R MAPES L.AC.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/22/2025
Last Update Date: 12/22/2025
Certification Date: 12/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

809 PARK ST
CASTLE ROCK CO
80109-1525
US

IV. Provider business mailing address

2438 CACTUS BLOOM CT
CASTLE ROCK CO
80109-3603
US

V. Phone/Fax

Practice location:
  • Phone: 303-949-1955
  • Fax:
Mailing address:
  • Phone: 303-949-1955
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberACU.0002966
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: