Healthcare Provider Details

I. General information

NPI: 1760869234
Provider Name (Legal Business Name): ZOEY PIATT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/04/2015
Last Update Date: 05/04/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

56171 E. COLFAX AVE UNIT 6
STRASBURG CO
80136-0874
US

IV. Provider business mailing address

7310 S ALTON WAY SUIE 6L
CENTENNIAL CO
80112-2334
US

V. Phone/Fax

Practice location:
  • Phone: 303-622-6688
  • Fax: 303-622-6687
Mailing address:
  • Phone: 303-790-4495
  • Fax: 720-488-1988

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number0017361
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: