Healthcare Provider Details

I. General information

NPI: 1861344806
Provider Name (Legal Business Name): DUSTY SPEAKS LMT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/12/2026
Last Update Date: 03/25/2026
Certification Date: 03/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

911 44TH AVENUE CT APT 8
GREELEY CO
80634-1345
US

IV. Provider business mailing address

911 44TH AVENUE CT APT 8
GREELEY CO
80634-1345
US

V. Phone/Fax

Practice location:
  • Phone: 970-768-3311
  • Fax:
Mailing address:
  • Phone: 970-768-3311
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberMT.0024856
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: