Healthcare Provider Details

I. General information

NPI: 1467995340
Provider Name (Legal Business Name): JULIE HUFF R.M.T.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/28/2016
Last Update Date: 11/28/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

155 COOK 351
DENVER CO
80206
US

IV. Provider business mailing address

8343 E. BRIARWOOD PL
CENTENNIAL CO
80112
US

V. Phone/Fax

Practice location:
  • Phone: 303-667-9519
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberMT0006159
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: