Healthcare Provider Details

I. General information

NPI: 1154734119
Provider Name (Legal Business Name): LEI ACUPUNCTURE AND MASSAGE LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/07/2014
Last Update Date: 06/07/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

537 W HIGHLANDS RANCH PKWY STE 112
HIGHLANDS RANCH CO
80129-6951
US

IV. Provider business mailing address

537 W HIGHLANDS RANCH PKWY STE 112
HIGHLANDS RANCH CO
80129-6951
US

V. Phone/Fax

Practice location:
  • Phone: 303-471-0888
  • Fax: 303-683-8938
Mailing address:
  • Phone: 303-471-0888
  • Fax: 303-683-8938

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number0001881
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number0015325
License Number StateCO

VIII. Authorized Official

Name: LINLIN ZHANG
Title or Position: MANAGER
Credential: M.T.
Phone: 303-471-0888