Provider Demographics
NPI:1306991591
Name:ANNA REDMAN, CMT, LLC
Entity type:Organization
Organization Name:ANNA REDMAN, CMT, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANNA
Authorized Official - Middle Name:M
Authorized Official - Last Name:REDMAN
Authorized Official - Suffix:
Authorized Official - Credentials:CMT
Authorized Official - Phone:303-280-6127
Mailing Address - Street 1:14641 GARFIELD ST
Mailing Address - Street 2:
Mailing Address - City:BRIGHTON
Mailing Address - State:CO
Mailing Address - Zip Code:80602-7739
Mailing Address - Country:US
Mailing Address - Phone:303-280-6127
Mailing Address - Fax:
Practice Address - Street 1:2010 W 120TH AVE
Practice Address - Street 2:#100
Practice Address - City:WESTMINSTER
Practice Address - State:CO
Practice Address - Zip Code:80234-2444
Practice Address - Country:US
Practice Address - Phone:303-280-6127
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-25
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty