Healthcare Provider Details

I. General information

NPI: 1851206825
Provider Name (Legal Business Name): TRIFECTA BODY MIND AND SOUL WORKS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/15/2026
Last Update Date: 08/15/2026
Certification Date: 08/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

321 ROOD AVE STE 103
GRAND JUNCTION CO
81501-2441
US

IV. Provider business mailing address

1235 HERMOSA AVE
GRAND JUNCTION CO
81506-4054
US

V. Phone/Fax

Practice location:
  • Phone: 650-440-0316
  • Fax:
Mailing address:
  • Phone: 650-440-0316
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State

VIII. Authorized Official

Name: KIMBERLY ANN COMBS
Title or Position: OWNER/LMT
Credential: LMT
Phone: 650-440-0316