Parker Massage and Wellness LLC

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

13221 Issued in CO

Legal business name

PARKER MASSAGE AND WELLNESS LLC

Practice address

10841 S Crossroads Dr Ste 9
Parker, CO 80134-9090

Phone

(720) 934-6583

NPI assigned

Mar 21, 2012

Last updated

Mar 21, 2012By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jacob Scott Freedle, CMTNPI 1225303456

Title

Owner

Phone

(720) 934-6583

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jacob Scott Freedle, CMT

  • Massage Therapist
  • Parker, CO
  • NPI 1225303456
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1332288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332288000000",
    "number": "1013282250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10841 S CROSSROADS DR STE 9",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801349090",
            "telephone_number": "720-934-6583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10841 S CROSSROADS DR STE 9",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801349090",
            "telephone_number": "720-934-6583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKER MASSAGE AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-21",
        "last_updated": "2012-03-21",
        "status": "A",
        "authorized_official_last_name": "FREEDLE",
        "authorized_official_first_name": "JACOB",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "720-934-6583",
        "authorized_official_credential": "CMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "CO",
            "license": "13221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Parker Natural Medicine
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• Parker Nursing and Rehabilitation LLC (Crown Crest of Parker)

• Massage Therapist in Parker, CO
• Providers in Parker, CO by specialty
• Massage Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.