Springs Medical Massage LLC

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MT0019009 Issued in CO

Legal business name

SPRINGS MEDICAL MASSAGE LLC

Practice address

4465 Northpark Dr Ste 202
Colorado Springs, CO 80907-4238

Phone

(719) 231-2436

NPI assigned

Mar 8, 2018

Last updated

Mar 8, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jennifer Livingston Skinner, LMTNPI 1366944076

Title

Owner

Phone

(719) 231-2436

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jennifer Duvall Livingston Skinner, LMT

  • Massage Therapist
  • Colorado Springs, CO
  • NPI 1366944076
  NPD (past) Authorized official

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

{
    "created_epoch": "1520467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520467200000",
    "number": "1598268252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6835 RAVENCREST DR",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809191913",
            "telephone_number": "719-231-2436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4465 NORTHPARK DR STE 202",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809074238",
            "telephone_number": "719-231-2436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRINGS MEDICAL MASSAGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-08",
        "last_updated": "2018-03-08",
        "status": "A",
        "authorized_official_last_name": "LIVINGSTON SKINNER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-231-2436",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CO",
            "license": "MT0019009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2018; 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.