# COLORADO BODY WISDOM

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558737973
- **Authorized official:** RACHEL SCOTT (OWNER)
- **Authorized official phone:** (720) 352-6544

## Contact information

- **Practice address:** 1800 30TH ST, SUITE 309, BOULDER, CO 80301-1088
- **Practice address phone:** (720) 352-6544
- **Mailing address:** 1800 30TH ST, SUITE 309, BOULDER, CO 80301-1088

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | 0001739 | CO | — |
| 261Q00000X | Clinic/Center | 0014865 | CO | — |
| 261Q00000X | Clinic/Center | MT.0010270 | CO | Yes |

## Other

- **Enumeration date:** 08/19/2015
- **Last updated:** 08/19/2015