Healthcare Provider Details

I. General information

NPI: 1558448720
Provider Name (Legal Business Name): NEW WELLNESS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/01/2006
Last Update Date: 01/11/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8200 S QUEBEC ST SUITE A3-502
CENTENNIAL CO
80112-4411
US

IV. Provider business mailing address

8200 S QUEBEC ST SUITE A3-502
CENTENNIAL CO
80112-4411
US

V. Phone/Fax

Practice location:
  • Phone: 303-482-2295
  • Fax:
Mailing address:
  • Phone: 303-482-2295
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: DIMITRI RIMSKY
Title or Position: CEO
Credential: P.T.
Phone: 310-200-5879