| Thrive Aspen Llc | |
|
249 Kodiak Dr Unit 201 Basalt CO 81621-8140 | |
| (970) 618-8796 | |
| (970) 645-3168 |
| Full Name | Thrive Aspen Llc |
|---|---|
| Speciality | General Practice |
| Location | 249 Kodiak Dr Unit 201, Basalt, Colorado |
| Authorized Official Name and Position | Lisa M Wagner (OWNER) |
| Authorized Official Contact | 9706188796 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thrive Aspen Llc 249 Kodiak Dr Unit 201 Basalt CO 81621-8140 Ph: (970) 618-8796 | Thrive Aspen Llc 249 Kodiak Dr Unit 201 Basalt CO 81621-8140 Ph: (970) 618-8796 |
| NPI Number | 1528817780 |
|---|---|
| Provider Enumeration Date | 05/17/2024 |
| Last Update Date | 05/07/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528817780 | NPI | - | NPPES |
| 1346754249 | Other | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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