Individual provider Active NPI

Inanna Allyson Hall, LMT

  • Massage Therapist
  • Breckenridge, CO
National Provider Identifier
1255651154
Registry record updated Jun 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
1701 Issued in CO
Practice address
118 South Ridge Rd.
#2
Breckenridge, CO 80424-3084
Phone
(970) 485-3344
Fax
(970) 453-1871
NPI assigned
Jun 3, 2010
Last updated
Jun 3, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 1701 CO Primary

Addresses

Primary practice location

118 South Ridge Rd.
#2
Breckenridge, CO 80424-3084

Mailing address

PO Box 3084
118 S. Ridge Rd. #2
Breckenridge, CO 80424-3084
Phone (970) 485-3344

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

LicenseStateTypeSpecialty
1701COMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1275523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275523200000",
    "number": "1255651154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3084",
            "address_2": "118 S. RIDGE RD. #2",
            "city": "BRECKENRIDGE",
            "state": "CO",
            "postal_code": "804243084",
            "telephone_number": "970-485-3344",
            "fax_number": "970-453-1871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 SOUTH RIDGE RD.",
            "address_2": "#2",
            "city": "BRECKENRIDGE",
            "state": "CO",
            "postal_code": "804243084",
            "telephone_number": "970-485-3344",
            "fax_number": "970-453-1871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "INANNA",
        "middle_name": "ALLYSON",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-03",
        "last_updated": "2010-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CO",
            "license": "1701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Breckenridge, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 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.