Healthcare Provider Details

I. General information

NPI: 1871458331
Provider Name (Legal Business Name): SETH SCHWARTZBACH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/17/2025
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6469 W COLFAX AVE
LAKEWOOD CO
80214-1801
US

IV. Provider business mailing address

6469 W COLFAX AVE
LAKEWOOD CO
80214-1801
US

V. Phone/Fax

Practice location:
  • Phone: 720-420-9659
  • Fax: 303-379-4150
Mailing address:
  • Phone: 720-420-9659
  • Fax: 303-379-4150

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberMT.0025547
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: