Healthcare Provider Details

I. General information

NPI: 1649189010
Provider Name (Legal Business Name): ELIZABETH VASSILAKOU
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/02/2026
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2050 S ONEIDA ST STE 102
DENVER CO
80224-2428
US

IV. Provider business mailing address

2050 S ONEIDA ST STE 102
DENVER CO
80224-2428
US

V. Phone/Fax

Practice location:
  • Phone: 303-535-2737
  • Fax:
Mailing address:
  • Phone: 303-535-2737
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberACU.0001771
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: