# COLORADO PREMIER BODYWORK

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** COLORADO PREMIER BODYWORK
- **Other names:** Structura Premier Bodywork
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1457950271
- **Legal business name:** COLORADO PREMIER BODYWORK
- **Authorized official:** NANCY K POUR-BAKHTIAR LMT (OWNER)
- **Authorized official phone:** (719) 215-8722

## Contact information

- **Practice address:** 5265 N ACADEMY BLVD STE 3300, COLORADO SPRINGS, CO 80918-4082
- **Practice address phone:** (719) 215-8722
- **Mailing address:** 5265 N ACADEMY BLVD STE 3300, COLORADO SPRINGS, CO 80918-4082
- **Mailing address phone:** (719) 215-8722

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/22/2020
- **Last updated:** 10/22/2020