Provider Demographics
NPI:1326877549
Name:MIND & MUSCLE MEDICINE, LLC
Entity type:Organization
Organization Name:MIND & MUSCLE MEDICINE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:M
Authorized Official - Last Name:SCUTT
Authorized Official - Suffix:
Authorized Official - Credentials:BS, LMT
Authorized Official - Phone:719-505-5209
Mailing Address - Street 1:2705 DEL MAR DR
Mailing Address - Street 2:
Mailing Address - City:GRAND JUNCTION
Mailing Address - State:CO
Mailing Address - Zip Code:81506-1723
Mailing Address - Country:US
Mailing Address - Phone:719-505-5209
Mailing Address - Fax:
Practice Address - Street 1:2526 PATTERSON RD UNIT 100
Practice Address - Street 2:
Practice Address - City:GRAND JUNCTION
Practice Address - State:CO
Practice Address - Zip Code:81505-1146
Practice Address - Country:US
Practice Address - Phone:719-505-5209
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-27
Last Update Date:2024-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty