Healthcare Provider Details

I. General information

NPI: 1902696172
Provider Name (Legal Business Name): UTOPIA CORP.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/09/2025
Last Update Date: 06/03/2025
Certification Date: 06/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

202 E CHEYENNE MOUNTAIN BLVD STE R
COLORADO SPRINGS CO
80906-3769
US

IV. Provider business mailing address

202 E CHEYENNE MOUNTAIN BLVD STE R
COLORADO SPRINGS CO
80906-3769
US

V. Phone/Fax

Practice location:
  • Phone: 719-309-6776
  • Fax:
Mailing address:
  • Phone: 719-309-6776
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number StateNULL

VIII. Authorized Official

Name: ARIELLE THOMAS
Title or Position: CFO
Credential:
Phone: 720-519-3583