MEDICARE: UNIFIED MANUAL THERAPY INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171100000X	Acupuncturist	1336	CO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0006487	OTHER	CO	REHABILITATION, MASSAGE THERAPY, LYMPHATIC
2	1336	OTHER	CO	ACUPUNCTURE

General Provider Information

NPI Number	:	1063835536
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNIFIED MANUAL THERAPY INC.

Provider Business Mailing Address
First Line	:	1776 S JACKSON ST STE 614
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80210-3819
Country	:	US
Telephone Number	:	720-323-2471
Fax Number	:

Provider Business Practice Location Address
First Line	:	1776 S JACKSON ST STE 614
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80210-3819
Country	:	US
Telephone Number	:	720-323-2471
Fax Number	:

Authorized Official
Title or Position	:	ACUPUNCTURIST
Name	:	SANDRA SHINDOLL
Credential	:	L.AC.
Telephone Number	:	720-323-2471

Provider Enumeration Date	:	02/03/2014
Last Update Date	:	05/08/2014

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Directions to “UNIFIED MANUAL THERAPY INC. ” Practice Location

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