Organization Active NPI

Massage & Bodywork

  • Reflexologist
  • Colorado Springs, CO
National Provider Identifier
1376920090
Registry record updated May 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ReflexologistTaxonomy code 173C00000X
License
7655 Issued in CO
Legal business name
MASSAGE & BODYWORK
Practice address
2590 Palmer Park Blvd
Colorado Springs, CO 80909-3057
Phone
(719) 243-8944
NPI assigned
May 1, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2015

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

Authorized official

Name
Kimm Michelle Anderson, LMT
Title
LMT
Phone
(719) 243-8944

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ReflexologistGroup: 193400000X SINGLE SPECIALTY GROUP 173C00000X 7655 CO Primary

Addresses

Primary practice location

2590 Palmer Park Blvd
Colorado Springs, CO 80909-3057

Mailing address

2590 Palmer Park Blvd
Colorado Springs, CO 80909-3057
Phone (719) 243-8944

National Provider Directory

National Provider Directory

Locations

2590 Palmer Park Blvd
Colorado Springs, CO 80909
Phone (719) 473-6963

NPI Registry JSON

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

{
    "created_epoch": "1430438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430438400000",
    "number": "1376920090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2590 PALMER PARK BLVD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809093057",
            "telephone_number": "719-243-8944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2590 PALMER PARK BLVD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809093057",
            "telephone_number": "719-243-8944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASSAGE & BODYWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-01",
        "last_updated": "2015-05-01",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "KIMM",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "LMT",
        "authorized_official_telephone_number": "719-243-8944",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "173C00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Reflexologist",
            "state": "CO",
            "license": "7655",
            "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 May 1, 2015; 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.