| Rooted Soma Therapy Collective | |
|
1375 Ken Pratt Blvd Ste 300j Longmont CO 80501-7078 | |
| (918) 636-0449 | |
| Not Available |
| Full Name | Rooted Soma Therapy Collective |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1375 Ken Pratt Blvd Ste 300j, Longmont, Colorado |
| Authorized Official Name and Position | Aiyla Cook (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9186360449 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rooted Soma Therapy Collective 6228 Waterman Way Frederick CO 80516-9777 Ph: (918) 636-0449 | Rooted Soma Therapy Collective 1375 Ken Pratt Blvd Ste 300j Longmont CO 80501-7078 Ph: (918) 636-0449 |
| NPI Number | 1518848886 |
|---|---|
| Provider Enumeration Date | 09/11/2025 |
| Last Update Date | 09/11/2025 |
| Certification Date | 09/11/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518848886 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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