Provider Demographics
NPI:1104052489
Name:ESSENTIAL BODYWORKS, INC.
Entity type:Organization
Organization Name:ESSENTIAL BODYWORKS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:
Authorized Official - Last Name:SHROPSHIRE
Authorized Official - Suffix:
Authorized Official - Credentials:RMT
Authorized Official - Phone:303-920-2350
Mailing Address - Street 1:10701 MELODY DR
Mailing Address - Street 2:SUITE 414
Mailing Address - City:NORTHGLENN
Mailing Address - State:CO
Mailing Address - Zip Code:80234-4130
Mailing Address - Country:US
Mailing Address - Phone:303-920-2350
Mailing Address - Fax:303-453-0427
Practice Address - Street 1:10701 MELODY DR
Practice Address - Street 2:SUITE 414
Practice Address - City:NORTHGLENN
Practice Address - State:CO
Practice Address - Zip Code:80234-4130
Practice Address - Country:US
Practice Address - Phone:303-920-2350
Practice Address - Fax:303-453-0427
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-01
Last Update Date:2009-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty