Healing Traditions Bodywork, LLC

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MT.0004270 Issued in CO

Legal business name

HEALING TRADITIONS BODYWORK, LLC

Practice address

26085 Amy Cir
Conifer, CO 80433-6113

Phone

(720) 244-7217

NPI assigned

Jan 29, 2015

Last updated

Jan 29, 2015By 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

Mary Davis, LMTNPI 1427448463

Title

Manager

Phone

(720) 244-7217

Specialties & licenses 1

Addresses

Locations

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.

• Mary Davis, LMT

  • Massage Therapist
  • Evergreen, CO
  • NPI 1427448463
  NPD (past) Authorized official

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

{
    "created_epoch": "1422489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422489600000",
    "number": "1184014110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28186 HIGHWAY 74",
            "address_2": "UNIT 7",
            "city": "EVERGREEN",
            "state": "CO",
            "postal_code": "804395775",
            "telephone_number": "720-244-7217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26085 AMY CIR",
            "city": "CONIFER",
            "state": "CO",
            "postal_code": "804336113",
            "telephone_number": "720-244-7217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING TRADITIONS BODYWORK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-29",
        "last_updated": "2015-01-29",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "720-244-7217",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CO",
            "license": "MT.0004270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Hart
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• Healthy Smiles Hygiene
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• Brian Phillip Hendrickson, D.M.D.
• Marjorie A Herweyer, RPT
• High Mountain Therapy LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2015; 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.