Colorado Premier Bodywork
Clinic/Center in Colorado Springs, CO. Organization (NPI-2).
NPI number1457950271
StatusActive
Last updated in NPPESOct 22, 2020
Details
- NPI
- 1457950271
- Entity type
- Organization (NPI-2)
- Legal business name
- Colorado Premier Bodywork
- Organization subpart
- Yes
- Enumeration date
- Oct 22, 2020
- Certification date
- Oct 22, 2020
- Last updated
- Oct 22, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | – | – | Yes |
Other names
- Structura Premier Bodywork (Doing Business As)
Practice location
5265 N Academy Blvd Ste 3300Colorado Springs, CO 80918-4082
Phone 719-215-8722
Mailing address
5265 N Academy Blvd Ste 3300Colorado Springs, CO 80918-4082
Phone 719-215-8722
Authorized official
Nancy K Pour-Bakhtiar
Owner
7192158722
Is something wrong?
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