Basic Information
| Provider Information | |||||||||
| NPI: | 1295170322 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | AYYAD | ||||||||
| FirstName: | NABEEL | ||||||||
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| Credential: | RMT | ||||||||
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| Mailing Information | |||||||||
| Address1: | 6552 S OGDEN ST | ||||||||
| Address2: | |||||||||
| City: | CENTENNIAL | ||||||||
| State: | CO | ||||||||
| PostalCode: | 801212561 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7209333974 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 10355 E ILIFF AVE | ||||||||
| Address2: | |||||||||
| City: | AURORA | ||||||||
| State: | CO | ||||||||
| PostalCode: | 802473622 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3037554955 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/02/2013 | ||||||||
| LastUpdateDate: | 12/19/2019 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 12/19/2019 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 171100000X | ACU.0002542 | CO | N | Other Service Providers | Acupuncturist | 172M00000X | MT.0001319 | CO | Y | Other Service Providers | Mechanotherapist |
No ID Information.