NPIMap

Organization Active NPI

Thunder Mountain Holdings, LLC

  • Massage Therapist
  • Woodland Park, CO
National Provider Identifier
1124346523
Registry record updated May 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
120042223 Issued in CO
Legal business name
THUNDER MOUNTAIN HOLDINGS, LLC
Practice address
216 W. Midland Avenue
Woodland Park, CO 80863
Phone
(719) 687-2599
Fax
(719) 687-3812
NPI assigned
May 10, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2010

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

Authorized official

Name
Mrs. Darlene N Holloway
Title
Owner/Manager
Phone
(719) 687-2599

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X 120042223 CO Primary

Addresses

Primary practice location

216 W. Midland Avenue
Woodland Park, CO 80863

Mailing address

PO Box 5796
Woodland Park, CO 80866-5796
Phone (719) 687-2599

Other names 1

  • Studio West Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1273449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273449600000",
    "number": "1124346523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5796",
            "city": "WOODLAND PARK",
            "state": "CO",
            "postal_code": "808665796",
            "telephone_number": "719-687-2599",
            "fax_number": "719-687-3812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 W. MIDLAND AVENUE",
            "city": "WOODLAND PARK",
            "state": "CO",
            "postal_code": "80863",
            "telephone_number": "719-687-2599",
            "fax_number": "719-687-3812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THUNDER MOUNTAIN HOLDINGS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-10",
        "last_updated": "2010-05-10",
        "status": "A",
        "authorized_official_last_name": "HOLLOWAY",
        "authorized_official_first_name": "DARLENE",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "719-687-2599",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "CO",
            "license": "120042223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Studio West",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Woodland Park, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2010; 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.