Provider Demographics
NPI:1053198101
Name:WATSON, ANSLEY (HEATH COACH)
Entity type:Individual
Prefix:
First Name:ANSLEY
Middle Name:
Last Name:WATSON
Suffix:
Gender:F
Credentials:HEATH COACH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2844 W 36TH AVE
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80211-2819
Mailing Address - Country:US
Mailing Address - Phone:303-918-6727
Mailing Address - Fax:
Practice Address - Street 1:2901 WYANDOT ST UNIT 20
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80211-3897
Practice Address - Country:US
Practice Address - Phone:303-918-6727
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-12
Last Update Date:2023-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO171400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach