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Organization

METAMORPHOSIS LTD

Active
Parent organization
METAMORPHOSIS LTD
Organization subpart
Yes

Provider details

NPI number
Legal business name
METAMORPHOSIS LTD
Authorized official
JESSICA HESLEP (MANAGER)
(719) 852-3420
Entity
Organization

Contact information

Practice address
6015 LEHMAN DR STE 205, COLORADO SPRINGS, CO 80918-3421
(719) 896-4180
(888) 285-7140
Mailing address
PO BOX 1868, CANON CITY, CO 81215-1868

Taxonomy

Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
208VP0014X
Interventional Pain Medicine Physician
Primary
225100000X
Physical Therapist
363L00000X
Nurse Practitioner
363LF0000X
Family Nurse Practitioner
367500000X
Certified Registered Nurse Anesthetist

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
52939529
CO
05
57531331
CO
05
60539577
CO
05
62750101
CO
Enumeration date
10/22/2020
Last updated
02/22/2024
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