Kellie Affolder
Individual provider Active NPI Massage Therapist · Westminster, CO
NPI 1306240445 · NPPES record last updated Mar 17, 2018
Key facts
- NPI
- 1306240445
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- 15492 (CO)
- Practice address
- 12008 Melody Dr
Westminster, CO 80234-4212 - Phone
- (303) 255-1047
- NPI assigned
- Oct 17, 2014
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
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 |
|---|---|---|---|
| 15492 | CO | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maggie Selbo, CMT,LDMT,LLC | Massage Therapist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 15492 | CO | Yes |
Addresses
Primary practice location
12008 Melody Dr
Westminster, CO 80234-4212
Mailing address
8450 Decatur St Apt 113
Westminster, CO 80031-3824
Phone (303) 513-7080
Other practice location 1
2401 S Downing St
Denver, CO 80210-5811
Phone (303) 733-2727
Other practice location 2
2401 S Downing St
Denver, CO 80210-5811
Phone (303) 733-2727
Other providers in Westminster, CO
- Advanced Urgent Care LLC
- Advanced Urgent Care LLC
- Advanced Urgent Care LLC
- Advanced Urology, PLLC
- Adventhealth Primary Care RMR
- Elizabeth Agan
- Rebecca L Agnew
- Alexis Agosto
- Saharai Aguilera
- Hugo Sebastian Aguirre
All providers in Westminster, CO · Massage Therapist in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 2018. 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.