Healthcare Provider Details

I. General information

NPI: 1790055242
Provider Name (Legal Business Name): ROLFPROS.COM LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/30/2011
Last Update Date: 08/10/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8600 PARK MEADOWS DR. STE 200
LONE TREE CO
80124-4106
US

IV. Provider business mailing address

6585 OLD RANCH TRL
LITTLETON CO
80125-9082
US

V. Phone/Fax

Practice location:
  • Phone: 720-261-8002
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172M00000X
TaxonomyMechanotherapist
License Number11282
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number11282
License Number StateCO

VIII. Authorized Official

Name: FRED NEHRING
Title or Position: OWNER
Credential: CERTIFIED ROLFER
Phone: 720-261-8002