Healthcare Provider Details

I. General information

NPI: 1649185547
Provider Name (Legal Business Name): AT EASE HEALTH CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/17/2026
Last Update Date: 08/17/2026
Certification Date: 08/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

704 FORTINO BLVD STE D
PUEBLO CO
81008-2087
US

IV. Provider business mailing address

PO BOX 7516
PUEBLO WEST CO
81007-0516
US

V. Phone/Fax

Practice location:
  • Phone: 719-748-7932
  • Fax: 719-888-1629
Mailing address:
  • Phone: 719-748-7932
  • Fax: 719-888-1629

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State

VIII. Authorized Official

Name: ANGELA DARLING
Title or Position: PRESIDENT
Credential: LMT
Phone: 719-757-0101