Healthcare Provider Details

I. General information

NPI: 1003152547
Provider Name (Legal Business Name): CINDI VOGT CMT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/02/2013
Last Update Date: 01/02/2013
Certification Date:
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 TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number11473
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: