Healthcare Provider Details

I. General information

NPI: 1861096877
Provider Name (Legal Business Name): ERYN HAYS LMT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/30/2020
Last Update Date: 11/30/2020
Certification Date: 11/30/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4928 W 29TH AVE
DENVER CO
80212-1513
US

IV. Provider business mailing address

3605 N COOK ST
DENVER CO
80205-3735
US

V. Phone/Fax

Practice location:
  • Phone: 720-295-2661
  • Fax:
Mailing address:
  • Phone: 505-490-3172
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberMT.0021769
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: