Justin Michael Critelli, LMT
Individual provider Active NPI Massage Therapist · Salida, CO
NPI 1285260992 · NPPES record last updated Mar 14, 2020
Key facts
- NPI
- 1285260992
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- MT.0015565 (CO)
- Practice address
- 224 E 1St St
Salida, CO 81201-2113 - Phone
- (914) 466-9779
- NPI assigned
- Mar 14, 2020
- Sex
- Male
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| MT.0015565 | CO | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist |
225700000X | MT.0015565 | CO | Yes |
Addresses
Primary practice location
224 E 1St St
Salida, CO 81201-2113
Mailing address
734 E St
Salida, CO 81201-2639
Phone (914) 466-9779
Other practice location 1
18999 County Road 306
Buena Vista, CO 81211-9502
Phone (719) 395-6434
Other providers in Salida, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 14, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.