Organization
TVP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMIE THOMAS (OWNER)
(303) 642-0376
Entity
Organization
Contact information
Practice address
1460 XAVIER ST, DENVER, CO 80204-1022
(303) 642-0376
Mailing address
1460 XAVIER ST, DENVER, CO 80204-1022
(303) 642-0376
Taxonomy
Speciality
Code
Description
License number
State
173C00000X
Reflexologist
MT.0012979
CO
174400000X
Specialist
MT.0012979
CO
174H00000X
Health Educator
MT.0012979
CO
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
MT.0012979
CO
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
MT.0012979
CO
2081N0008X
Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
MT.0012979
CO
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
MT.0012979
CO
225700000X
Massage Therapist
Primary
MT.0012979
CO
302F00000X
Exclusive Provider Organization
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Other
Enumeration date
03/24/2015
Last updated
03/24/2015
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