Active NPI
Gods Lion Divine Massage & Fitness
- Massage Therapist
- Colorado Springs, CO
National Provider Identifier
1356883227
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 11350
- Legal business name
- GODS LION DIVINE MASSAGE & FITNESS
- Practice address
- 5446 N Academy Blvd
Suite 104
Colorado Springs, CO 80918-3668 - Phone
- (719) 354-8347
- Fax
- (719) 265-5221
- NPI assigned
- Nov 9, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kristin L Jones
- Title
- President/Provider
- Phone
- (719) 354-8347
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 11350 | CO | Primary |
Addresses
Primary practice location
5446 N Academy Blvd
Suite 104
Colorado Springs, CO 80918-3668
Mailing address
5446 N Academy Blvd
Suite 104
Colorado Springs, CO 80918-3668
Phone (719) 354-8347
National Provider Directory
National Provider DirectoryLocations
5446 N Academy Blvd
Ste 104
Colorado Springs, CO 80918
Phone (719) 354-8347
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1478649600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1478649600000",
"number": "1356883227",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5446 N ACADEMY BLVD",
"address_2": "SUITE 104",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809183668",
"telephone_number": "719-354-8347",
"fax_number": "719-265-5221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5446 N ACADEMY BLVD",
"address_2": "SUITE 104",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809183668",
"telephone_number": "719-354-8347",
"fax_number": "719-265-5221"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GODS LION DIVINE MASSAGE & FITNESS",
"organizational_subpart": "NO",
"enumeration_date": "2016-11-09",
"last_updated": "2016-11-09",
"status": "A",
"authorized_official_last_name": "JONES",
"authorized_official_first_name": "KRISTIN",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "PRESIDENT/PROVIDER",
"authorized_official_telephone_number": "719-354-8347"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Massage Therapist",
"state": "CO",
"license": "11350",
"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 Nov 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.