Angelique Ceciel Eberwein, M.T., C.N.M.T

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

3041 Issued in CO

Practice address

7075 Campus Dr
Suite #210
Colorado Springs, CO 80920-6523

Phone

(719) 322-6778

Fax

(719) 344-2295

NPI assigned

Feb 5, 2010

Last updated

Feb 5, 2010By the provider in NPPES

Sex

Female

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

Credentials

Medical Technician

State licenses

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

{
    "created_epoch": "1265328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265328000000",
    "number": "1629300389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 E YAMPA ST",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809032939",
            "telephone_number": "719-322-6778",
            "fax_number": "719-344-2295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7075 CAMPUS DR",
            "address_2": "SUITE #210",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809206523",
            "telephone_number": "719-322-6778",
            "fax_number": "719-344-2295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBERWEIN",
        "first_name": "ANGELIQUE",
        "middle_name": "CECIEL",
        "name_prefix": "Mrs.",
        "credential": "M.T., C.N.M.T",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-05",
        "last_updated": "2010-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CO",
            "license": "3041",
            "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 Feb 5, 2010; 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.