Justin Edward Tallant, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MT.0023462 Issued in CO

Practice address

1901 Kipling St
Lakewood, CO 80215-2822

Phone

(720) 999-8550

NPI assigned

Aug 7, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mile High Holistics, LLC

  • Massage Therapist
  • Lakewood, CO
  • NPI 1467060772
  NPD

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

{
    "created_epoch": "1596758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596758400000",
    "number": "1619587268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 TABOR ST APT 25",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "804014731",
            "telephone_number": "303-901-3671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 KIPLING ST",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802152822",
            "telephone_number": "720-999-8550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TALLANT",
        "first_name": "JUSTIN",
        "middle_name": "EDWARD",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-08-07",
        "last_updated": "2020-08-07",
        "certification_date": "2020-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CO",
            "license": "MT.0023462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda F Taj, LPC, LAC
• Katherine Takacs
• Marlene Talavera
• Sylvia I Talavera, D.D.S., OF MYOLOGIST
• Talk Therapy Corporation
• Sachin Talusani, MD
• Jessica Anne Tandlich, MS
• Emma Tanner
• Sarah Jane Tanner, RDH, BSDH
• Tanning Shack Inc (Sun Spa)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2020; 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.