Myofascial Body Work, LLC

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

MYOFASCIAL BODY WORK, LLC

Practice address

1307 Fortino Blvd Ste a
Pueblo, CO 81008-2032

Phone

(719) 240-3745

Fax

(719) 223-4240

NPI assigned

Sep 19, 2022

Organization subpart

No

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

Authorized official

Name

Bernadette TiffanyNPI 1376885749

Title

Owner

Phone

(719) 240-3745

Specialties & licenses 1

Addresses

Electronic endpoints 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bernadette Tiffany, PTA, LMT,CFT

  • Massage Therapist
  • Pueblo, CO
  • NPI 1376885749
  NPD Authorized official

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

{
    "created_epoch": "1663545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663545600000",
    "number": "1427770148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1307 FORTINO BLVD STE A",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810082032",
            "telephone_number": "719-240-3745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1307 FORTINO BLVD STE A",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810082032",
            "telephone_number": "719-240-3745",
            "fax_number": "719-223-4240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYOFASCIAL BODY WORK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-19",
        "last_updated": "2022-09-19",
        "certification_date": "2022-09-19",
        "status": "A",
        "authorized_official_last_name": "TIFFANY",
        "authorized_official_first_name": "BERNADETTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-240-3745"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bernadettegauna@outlook.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1307 Fortino Blvd Ste A",
            "city": "Pueblo",
            "state": "CO",
            "country_code": "US",
            "postal_code": "810082032",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Emily Myers
• Jacqueline Myers
• Jennifer Myers
• Margaret E Myers, BSW
• Sally Ann Myers, PT
• Latasha Deanne Myrieckes, APRN
• Steven Nafziger, MD
• Deepa Nagaraja, MD
• Mark Nagel
• Julia Margaret Nakagaki, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2022; 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.