Larry Arnold Heim, LMT
Individual provider Active NPI Massage Therapist · Elbert, CO
NPI 1437302155 · NPPES record last updated Oct 25, 2008
Key facts
- NPI
- 1437302155
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- 711078 (CO)
- Practice address
- 14210 Delwood Dr
Elbert, CO 80106-8882 - Phone
- (719) 495-4519
- NPI assigned
- Oct 25, 2008
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 711078 | CO | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 711078 | CO | Yes |
Addresses
Primary practice location
14210 Delwood Dr
Elbert, CO 80106-8882
Mailing address
14210 Delwood Dr
Elbert, CO 80106-8882
Phone (719) 495-4519
Other providers in Elbert, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 25, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.