Healthcare Provider Details

I. General information

NPI: 1417899196
Provider Name (Legal Business Name): MADISEN DAYES
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/09/2026
Last Update Date: 04/09/2026
Certification Date: 04/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2860 S CIRCLE DR STE 250A
COLORADO SPRINGS CO
80906-4113
US

IV. Provider business mailing address

7463 WILLOW PINES PL
FOUNTAIN CO
80817-3142
US

V. Phone/Fax

Practice location:
  • Phone: 719-900-3009
  • Fax:
Mailing address:
  • Phone: 928-864-7692
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberMT.0024230
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: