Active NPI
Manon Loustaunau
- Massage Therapist
- Broomfield, CO
National Provider Identifier
1003670381
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MT.0026175
- Practice address
- 1260 E 1St Ave Unit a
Broomfield, CO 80020-3792 - Phone
- (720) 716-4518
- NPI assigned
- Feb 7, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MT.0026175 | CO | Primary |
Addresses
Primary practice location
1260 E 1St Ave Unit a
Broomfield, CO 80020-3792
Mailing address
1033 W 14TH Ave
Denver, CO 80204-2524
Phone (804) 399-7620
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT.0026175 | CO | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1707264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707264000000",
"number": "1003670381",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1033 W 14TH AVE",
"city": "DENVER",
"state": "CO",
"postal_code": "802042524",
"telephone_number": "804-399-7620"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1260 E 1ST AVE UNIT A",
"city": "BROOMFIELD",
"state": "CO",
"postal_code": "800203792",
"telephone_number": "720-716-4518"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOUSTAUNAU",
"first_name": "MANON",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-02-07",
"last_updated": "2024-02-07",
"certification_date": "2024-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CO",
"license": "MT.0026175",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Broomfield, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.