Renee M. Ford, MASSAGE THERAPIST

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

319050-4701 Issued in UT

Practice address

4202 Monroe Dr Apt a
Boulder, CO 80303-2187

Phone

(303) 647-1576

NPI assigned

Jun 9, 2019

Last updated

Jun 9, 2019By 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

Other names 1

• Renee M. Paulsmeyer Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1560038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560038400000",
    "number": "1639738172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4202 MONROE DR APT A",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803032187",
            "telephone_number": "303-647-1576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4202 MONROE DR APT A",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803032187",
            "telephone_number": "303-647-1576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORD",
        "first_name": "RENEE",
        "middle_name": "M.",
        "credential": "MASSAGE THERAPIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-09",
        "last_updated": "2019-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "UT",
            "license": "319050-4701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RENEE",
            "last_name": "PAULSMEYER",
            "middle_name": "M.",
            "credential": "MASSAGE THERAPIST",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2019; 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.