Healthcare Provider Details

I. General information

NPI: 1649516188
Provider Name (Legal Business Name): MEDICINE HANDS OF COLORADO, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/02/2013
Last Update Date: 05/04/2020
Certification Date: 05/04/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3460 S SHERMAN ST STE 201
ENGLEWOOD CO
80113-2674
US

IV. Provider business mailing address

3460 S SHERMAN ST STE 201
ENGLEWOOD CO
80113-2674
US

V. Phone/Fax

Practice location:
  • Phone: 303-781-4444
  • Fax: 303-806-8640
Mailing address:
  • Phone: 303-781-4444
  • Fax: 303-806-8640

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number11473
License Number StateCO
# 3
Primary TaxonomyN
Taxonomy Code225A00000X
TaxonomyMusic Therapist
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: CINDI VOGT
Title or Position: PRESIDENT
Credential: LMT
Phone: 303-781-4444