| Colorado Body Wisdom | |
|
1800 30th St Suite 309 Boulder CO 80301-1088 | |
| (720) 352-6544 | |
| Not Available |
| Full Name | Colorado Body Wisdom |
|---|---|
| Speciality | Clinic/center |
| Location | 1800 30th St, Boulder, Colorado |
| Authorized Official Name and Position | Rachel Scott (OWNER) |
| Authorized Official Contact | 7203526544 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Colorado Body Wisdom 1800 30th St Suite 309 Boulder CO 80301-1088 Ph: () - | Colorado Body Wisdom 1800 30th St Suite 309 Boulder CO 80301-1088 Ph: (720) 352-6544 |
| NPI Number | 1558737973 |
|---|---|
| Provider Enumeration Date | 08/19/2015 |
| Last Update Date | 08/19/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558737973 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 0001739 (Colorado) | Secondary |
| 261Q00000X | Clinic/center | 0014865 (Colorado) | Secondary |
| 261Q00000X | Clinic/center | MT.0010270 (Colorado) | Primary |
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