Active NPI
Dustin Allen Knutson, MASSAGE THERAPIST
- Massage Therapist
- Colorado Springs, CO
National Provider Identifier
1326526575
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 439875
- Practice address
- 2314 E Monument St
Colorado Springs, CO 80909-4819 - Phone
- (719) 360-6724
- NPI assigned
- Jul 31, 2018
- Sex
- Male
- 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 | 439875 | CO | Primary |
Addresses
Primary practice location
2314 E Monument St
Colorado Springs, CO 80909-4819
Mailing address
2314 E Monument St
Colorado Springs, CO 80909-4819
Phone (719) 360-6724
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 |
|---|---|---|---|
| 439875 | CO | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532995200000",
"number": "1326526575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2314 E MONUMENT ST",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809094819",
"telephone_number": "719-360-6724"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2314 E MONUMENT ST",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809094819",
"telephone_number": "719-360-6724"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KNUTSON",
"first_name": "DUSTIN",
"middle_name": "ALLEN",
"credential": "MASSAGE THERAPIST",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-07-31",
"last_updated": "2018-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CO",
"license": "439875",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.