Provider Demographics
NPI:1487995544
Name:ESSENTIAL BODYWORKS
Entity type:Organization
Organization Name:ESSENTIAL BODYWORKS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:
Authorized Official - Last Name:SHROPSHIRE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-920-2350
Mailing Address - Street 1:PO BOX 352076
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:CO
Mailing Address - Zip Code:80035-2076
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:12191 W 64TH AVE
Practice Address - Street 2:SUITE 111-D
Practice Address - City:ARVADA
Practice Address - State:CO
Practice Address - Zip Code:80004-4033
Practice Address - Country:US
Practice Address - Phone:303-920-2350
Practice Address - Fax:720-253-1085
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-13
Last Update Date:2013-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0013631225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty