Healthcare Provider Details
I. General information
NPI: 1427772136
Provider Name (Legal Business Name): KIM SCHEMAHORN LMT, AAT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 09/27/2022
Last Update Date: 07/10/2025
Certification Date: 07/10/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
380 EMPIRE RD STE 220
LAFAYETTE CO
80026-2677
US
IV. Provider business mailing address
1545 HECLA WAY APT 101
LOUISVILLE CO
80027-2469
US
V. Phone/Fax
- Phone: 720-509-9633
- Fax: 720-513-5729
- Phone: 719-688-2678
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 225700000X |
| Taxonomy | Massage Therapist |
| License Number | MT.0015065 |
| License Number State | CO |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: