Provider Demographics
NPI:1053938365
Name:FLOWING WATER WATSU AQUATIC THERAPY INC
Entity type:Organization
Organization Name:FLOWING WATER WATSU AQUATIC THERAPY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:MARTA
Authorized Official - Middle Name:
Authorized Official - Last Name:STEC
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-875-1901
Mailing Address - Street 1:351 S ESTES ST APT 23
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80226-2984
Mailing Address - Country:US
Mailing Address - Phone:303-875-1901
Mailing Address - Fax:
Practice Address - Street 1:351 S ESTES ST APT 23
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80226-2984
Practice Address - Country:US
Practice Address - Phone:303-875-1901
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-02
Last Update Date:2020-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation PractitionerGroup - Single Specialty