Healthcare Provider Details

I. General information

NPI: 1609715036
Provider Name (Legal Business Name): CONSCIOUS HEALTH MECHANICS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/28/2026
Last Update Date: 03/28/2026
Certification Date: 03/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2130 VICKERS DR STE 119
COLORADO SPRINGS CO
80918-8129
US

IV. Provider business mailing address

5720 FIREGLOW PT APT 402
COLORADO SPRINGS CO
80923-3921
US

V. Phone/Fax

Practice location:
  • Phone: 719-828-3574
  • Fax:
Mailing address:
  • Phone: 719-629-8492
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JOSUE E RIVERA
Title or Position: OWNER
Credential: LMT
Phone: 719-629-8492