MEDICARE: JOY IS HEALING, LLC

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	225700000X	Massage Therapist

General Provider Information

NPI Number	:	1235816091
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JOY IS HEALING, LLC

Provider Business Mailing Address
First Line	:	6755 EARL DR STE 108
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80918-1039
Country	:	US
Telephone Number	:	719-357-8678
Fax Number	:

Provider Business Practice Location Address
First Line	:	6755 EARL DR STE 108
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80918-1039
Country	:	US
Telephone Number	:	719-357-8678
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MS. JOY LEANNE HEARTEN-JOHNSON
Credential	:	MT
Telephone Number	:	719-357-8678

Provider Enumeration Date	:	07/03/2023
Last Update Date	:	07/03/2023

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