Provider Demographics
NPI:1730242264
Name:CAIRDE WELLNESS, INC
Entity type:Organization
Organization Name:CAIRDE WELLNESS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TRACEY
Authorized Official - Middle Name:A
Authorized Official - Last Name:CARTER
Authorized Official - Suffix:
Authorized Official - Credentials:CMT
Authorized Official - Phone:303-517-0128
Mailing Address - Street 1:7891 ALLISON WAY
Mailing Address - Street 2:# 103
Mailing Address - City:ARVADA
Mailing Address - State:CO
Mailing Address - Zip Code:80005-4446
Mailing Address - Country:US
Mailing Address - Phone:303-517-0128
Mailing Address - Fax:720-898-9696
Practice Address - Street 1:7891 ALLISON WAY
Practice Address - Street 2:# 103
Practice Address - City:ARVADA
Practice Address - State:CO
Practice Address - Zip Code:80005-4446
Practice Address - Country:US
Practice Address - Phone:303-517-0128
Practice Address - Fax:720-898-9696
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-18
Last Update Date:2020-08-22
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