=====================================================
General NPI Number Information
=====================================================
NPI Number | 1518286814
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | SEAIRA LOUISE CALDWELL RMT
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/26/2010
-----------------------------------------------------
Last Update Date | 05/26/2010
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 7921 SOUTHPARK PLZ SUITE 107
-----------------------------------------------------
City | LITTLETON
-----------------------------------------------------
State | CO
-----------------------------------------------------
Zip | 80120-5630
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 303-347-8837
-----------------------------------------------------
Fax | 303-347-8835
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 7921 SOUTHPARK PLAZA SUITE 107
-----------------------------------------------------
City | LITTLETON
-----------------------------------------------------
State | CO
-----------------------------------------------------
Zip | 80120
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 303-347-8837
-----------------------------------------------------
Fax | 303-347-8835
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 225700000X
-----------------------------------------------------
Taxonomy Name | Massage Therapist
-----------------------------------------------------
License Number | 8191
-----------------------------------------------------
License Number State | CO
-----------------------------------------------------