Active NPI
Kristin Kothlow, R.M.T.
- Massage Therapist
- Arvada, CO
National Provider Identifier
1366721326
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 10661
- Practice address
- 8410 Wadsworth Blvd
A
Arvada, CO 80003-0917 - Phone
- (303) 284-9875
- NPI assigned
- Aug 9, 2011
- Sex
- Female
- 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 | 10661 | CO | Primary |
Addresses
Primary practice location
8410 Wadsworth Blvd
A
Arvada, CO 80003-0917
Mailing address
8410 Wadsworth Blvd
A
Arvada, CO 80003-0917
Phone (303) 284-9875
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 |
|---|---|---|---|
| 10661 | CO | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1312848000000",
"number": "1366721326",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8410 WADSWORTH BLVD",
"address_2": "A",
"city": "ARVADA",
"state": "CO",
"postal_code": "800030917",
"telephone_number": "303-284-9875"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8410 WADSWORTH BLVD",
"address_2": "A",
"city": "ARVADA",
"state": "CO",
"postal_code": "800030917",
"telephone_number": "303-284-9875"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOTHLOW",
"first_name": "KRISTIN",
"credential": "R.M.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-08-09",
"last_updated": "2011-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CO",
"license": "10661",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Arvada, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.