Active NPI
Caitlin Snow
- Massage Therapist
- Boulder, CO
National Provider Identifier
1265933535
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 0021285
- Practice address
- 4710 Table Mesa Dr Ste B
Boulder, CO 80305-4504 - Phone
- (303) 499-9892
- NPI assigned
- Feb 22, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 0021285 | CO | Primary |
Addresses
Primary practice location
4710 Table Mesa Dr Ste B
Boulder, CO 80305-4504
Mailing address
5540 Stonewall PL Apt 31
Boulder, CO 80303-2974
Phone (617) 803-3221
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0021285 | CO | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1519257600000",
"number": "1265933535",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5540 STONEWALL PL APT 31",
"city": "BOULDER",
"state": "CO",
"postal_code": "803032974",
"telephone_number": "617-803-3221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4710 TABLE MESA DR STE B",
"city": "BOULDER",
"state": "CO",
"postal_code": "803054504",
"telephone_number": "303-499-9892"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SNOW",
"first_name": "CAITLIN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-02-22",
"last_updated": "2018-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CO",
"license": "0021285",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boulder, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.