Organization
COLORADO BODY WISDOM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RACHEL SCOTT (OWNER)
(720) 352-6544
Entity
Organization
Contact information
Practice address
1800 30TH ST, SUITE 309, BOULDER, CO 80301-1088
(720) 352-6544
Mailing address
1800 30TH ST, SUITE 309, BOULDER, CO 80301-1088
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
0001739
CO
261Q00000X
Clinic/Center
0014865
CO
261Q00000X
Clinic/Center
Primary
MT.0010270
CO
Other
Enumeration date
08/19/2015
Last updated
08/19/2015
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