Healthcare Provider Details

I. General information

NPI: 1003727454
Provider Name (Legal Business Name): THE CUTTING ROOM LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/15/2026
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10091 W 26TH AVE
WHEAT RIDGE CO
80215-6656
US

IV. Provider business mailing address

3902 NEWLAND ST
WHEAT RIDGE CO
80033-4918
US

V. Phone/Fax

Practice location:
  • Phone: 303-815-2732
  • Fax:
Mailing address:
  • Phone: 303-815-2732
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: SHAHINI HIND HAIDAR
Title or Position: OWNER
Credential:
Phone: 303-815-2732