Healthcare Provider Details

I. General information

NPI: 1508522970
Provider Name (Legal Business Name): ARTHUR L BROWN II
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/10/2021
Last Update Date: 04/26/2026
Certification Date: 04/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6970 S HOLLY CIR STE 104
CENTENNIAL CO
80112-1066
US

IV. Provider business mailing address

PO BOX 440844
AURORA CO
80044-0844
US

V. Phone/Fax

Practice location:
  • Phone: 303-639-9448
  • Fax:
Mailing address:
  • Phone: 303-639-9448
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number0003757
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: