NPIMap

Organization Active NPI

Boulder Therapeutics, Inc.

  • Massage Therapist
  • Boulder, CO
National Provider Identifier
1508030529
Registry record updated Apr 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
BOULDER THERAPEUTICS, INC.
Practice address
1790 30TH St
Suite #200
Boulder, CO 80301-1022
Phone
(303) 444-1171
Fax
(303) 258-7425
NPI assigned
Apr 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2008

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

Authorized official

Name
Mr. David George Abookire, CMT
Title
President/Director of Therapies
Phone
(303) 444-1171

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X CO Primary

Addresses

Primary practice location

1790 30TH St
Suite #200
Boulder, CO 80301-1022

Mailing address

1790 30TH St
Suite #200
Boulder, CO 80301-1022
Phone (303) 444-1171

National Provider Directory

National Provider Directory
Tax ID family
Boulder Therapeutics Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1790 30th St
Ste 200
Boulder, CO 80301
Phone (303) 444-1171

NPI Registry JSON

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

{
    "created_epoch": "1208822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208822400000",
    "number": "1508030529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1790 30TH ST",
            "address_2": "SUITE #200",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803011022",
            "telephone_number": "303-444-1171",
            "fax_number": "303-258-7425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1790 30TH ST",
            "address_2": "SUITE #200",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803011022",
            "telephone_number": "303-444-1171",
            "fax_number": "303-258-7425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOULDER THERAPEUTICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-22",
        "last_updated": "2008-04-22",
        "status": "A",
        "authorized_official_last_name": "ABOOKIRE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "GEORGE",
        "authorized_official_title_or_position": "PRESIDENT/DIRECTOR OF THERAPIES",
        "authorized_official_telephone_number": "303-444-1171",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "CO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boulder, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2008; 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.