Basic Information
Provider Information
NPI: 1003152547
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: VOGT
FirstName: CINDI
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: CMT
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 3460 S SHERMAN ST STE 201
Address2:  
City: ENGLEWOOD
State: CO
PostalCode: 801132674
CountryCode: US
TelephoneNumber: 3037814444
FaxNumber: 3038068640
Practice Location
Address1: 3460 S SHERMAN ST STE 201
Address2:  
City: ENGLEWOOD
State: CO
PostalCode: 801132674
CountryCode: US
TelephoneNumber: 3037814444
FaxNumber: 3038068640
Other Information
ProviderEnumerationDate: 01/02/2013
LastUpdateDate: 01/02/2013
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
225700000X11473COY Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist 

No ID Information.


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