Provider Demographics
NPI:1194089250
Name:ZEN LIFE
Entity type:Organization
Organization Name:ZEN LIFE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHARLEEN
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:RYSZKOWSKI
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:303-351-2427
Mailing Address - Street 1:9116 W BOWLES AVE
Mailing Address - Street 2:SUITE 10
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80123-8611
Mailing Address - Country:US
Mailing Address - Phone:303-351-2427
Mailing Address - Fax:303-353-0728
Practice Address - Street 1:9116 W BOWLES AVE
Practice Address - Street 2:SUITE 10
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80123-8611
Practice Address - Country:US
Practice Address - Phone:303-351-2427
Practice Address - Fax:303-353-0728
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-03
Last Update Date:2012-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1787171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty