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NPI Code Detail

MEDICARE: REJUVENATING TOUCH, LLC

MEDICARE: REJUVENATING TOUCH, 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
1225700000XMassage Therapist

General Provider Information

NPI Number : 1902944366
Entity Type Code : Organization
Provider Name (Legal Business Name) : REJUVENATING TOUCH, LLC
Provider Business Mailing Address
First Line : 2728 W 36TH AVE
Second Line :
City : DENVER
State : CO
Zip : 80211-2817
Country : US
Telephone Number : 720-290-1065
Fax Number : 303-374-2876
Provider Business Practice Location Address
First Line : 3456 TEJON ST
Second Line :
City : DENVER
State : CO
Zip : 80211-3435
Country : US
Telephone Number : 720-290-1065
Fax Number : 303-374-2876
Authorized Official
Title or Position : OWNER
Name : AUDREY PULLEN
Credential : LMT
Telephone Number : 720-290-1065
Provider Enumeration Date : 02/01/2007
Last Update Date : 05/05/2020

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Directions to “REJUVENATING TOUCH, LLC ” Practice Location

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