Aleah Abrisch

Individual provider Active NPI Massage Therapist · Boulder, CO

NPI 1831421791 · NPPES record last updated Feb 3, 2010

Key facts

NPI
1831421791
Entity type
Individual (NPI type 1)
Primary specialty
Massage Therapist 225700000X
License
7695 (CO)
Practice address
2321 30TH St
Boulder, CO 80301-1103
Phone
(303) 440-3998
Fax
(303) 440-8363
NPI assigned
Feb 3, 2010
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
7695COMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mills Massage, LLC Massage Therapist Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 7695 CO Yes

Addresses

Primary practice location

2321 30TH St
Boulder, CO 80301-1103

Mailing address

2321 30TH St
Boulder, CO 80301-1103
Phone (303) 440-3998

Other providers in Boulder, CO

All providers in Boulder, CO · Massage Therapist in Colorado

Sources for this page

Verify at the official NPI Registry.