Provider Demographics
NPI:1124635982
Name:ENHANCED GLAMOUR DAY SPA
Entity type:Organization
Organization Name:ENHANCED GLAMOUR DAY SPA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWMER/PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:TINA
Authorized Official - Middle Name:
Authorized Official - Last Name:NEUMILLER
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:720-753-8375
Mailing Address - Street 1:36 S 18TH AVE STE G
Mailing Address - Street 2:
Mailing Address - City:BRIGHTON
Mailing Address - State:CO
Mailing Address - Zip Code:80601-2452
Mailing Address - Country:US
Mailing Address - Phone:720-753-8375
Mailing Address - Fax:
Practice Address - Street 1:36 S 18TH AVE STE G
Practice Address - Street 2:
Practice Address - City:BRIGHTON
Practice Address - State:CO
Practice Address - Zip Code:80601-2452
Practice Address - Country:US
Practice Address - Phone:720-864-4344
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-25
Last Update Date:2020-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Multi-Specialty