Crystal A Burnham

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MT2612 Issued in CO

Practice address

1148 W Dillon Rd
Suite 1
Louisville, CO 80027-1297

Phone

(303) 554-1600

Fax

(720) 328-8188

NPI assigned

Jun 6, 2012

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1338940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338940800000",
    "number": "1366703373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1148 W DILLON RD",
            "address_2": "SUITE 1",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800271297",
            "telephone_number": "303-554-1600",
            "fax_number": "720-328-8188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1148 W DILLON RD",
            "address_2": "SUITE 1",
            "city": "LOUISVILLE",
            "state": "CO",
            "postal_code": "800271297",
            "telephone_number": "303-554-1600",
            "fax_number": "720-328-8188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNHAM",
        "first_name": "CRYSTAL",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-06",
        "last_updated": "2012-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CO",
            "license": "NLC12108",
            "primary": false
        },
        {
            "code": "173C00000X",
            "taxonomy_group": "",
            "desc": "Reflexologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CO",
            "license": "MT2612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lora Leigh Bulmahn, MD
• Alexandra Claire Burgess, RD
• Carol Buri
• Caitlin Burke, LCAT
• Nancy Grace Burlak, EDD, LMFT
• Melissa Burton, OD
• Brigitte Butler, OTR/L
• Julie A Byrt, PT
• Cabrera Consulting and Occupational Therapy Services, L.L.C.
• Arthur Cabrera, MD

• Massage Therapist in Louisville, CO
• Providers in Louisville, CO by specialty
• Massage Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.