Provider Demographics
NPI:1902944366
Name:REJUVENATING TOUCH, LLC
Entity Type:Organization
Organization Name:REJUVENATING TOUCH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AUDREY
Authorized Official - Middle Name:
Authorized Official - Last Name:PULLEN
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:720-290-1065
Mailing Address - Street 1:2728 W 36TH AVE
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80211-2817
Mailing Address - Country:US
Mailing Address - Phone:720-290-1065
Mailing Address - Fax:303-374-2876
Practice Address - Street 1:3456 TEJON ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80211-3435
Practice Address - Country:US
Practice Address - Phone:720-290-1065
Practice Address - Fax:303-374-2876
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-01
Last Update Date:2020-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Multi-Specialty