Shirley Torrez

Individual provider Active NPI Massage Therapist · Eaton, CO

NPI 1154989606 · NPPES record last updated May 30, 2019

Key facts

NPI
1154989606
Entity type
Individual (NPI type 1)
Primary specialty
Massage Therapist 225700000X
License
MT.0015750 (CO)
Practice address
123 Elm Ave
Eaton, CO 80615-3425
Phone
(970) 454-2224
NPI assigned
May 30, 2019
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
MT.0015750COMDMassage Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MT.0015750 CO Yes

Addresses

Primary practice location

123 Elm Ave
Eaton, CO 80615-3425

Mailing address

123 Elm Ave
Eaton, CO 80615-3425

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 30, 2019.

{
    "created_epoch": "1559174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559174400000",
    "number": "1154989606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 ELM AVE",
            "city": "EATON",
            "state": "CO",
            "postal_code": "806153425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 ELM AVE",
            "city": "EATON",
            "state": "CO",
            "postal_code": "806153425",
            "telephone_number": "970-454-2224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TORREZ",
        "first_name": "SHIRLEY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-30",
        "last_updated": "2019-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CO",
            "license": "MT.0015750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eaton, CO

All providers in Eaton, CO · Massage Therapist in Colorado

Sources for this page

Verify at the official NPI Registry.