Realm

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

7891 Issued in CO

Legal business name

REALM

Practice address

1500 28TH St
Boulder, CO 80303-1002

Phone

(303) 953-9892

NPI assigned

Nov 20, 2012

Organization subpart

No

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

Authorized official

Name

Allison K Dutton, RYT, RMT

Title

Owner

Phone

(303) 953-9892

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1353369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353369600000",
    "number": "1679817217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 28TH ST",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803031002",
            "telephone_number": "303-953-9892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 28TH ST",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803031002",
            "telephone_number": "303-953-9892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REALM",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-20",
        "last_updated": "2012-11-20",
        "status": "A",
        "authorized_official_last_name": "DUTTON",
        "authorized_official_first_name": "ALLISON",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-953-9892",
        "authorized_official_credential": "RYT, RMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "CO",
            "license": "7891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marisa Raymond, MS MPH CGC
• Sam Raymond, LPC, LAC
• Susanne I Raymond
• Jane V. Reagan, MED., RD
• Realize Recovery LLC
• Whitfield Reaves, L.AC.
• Edward Reavey IV
• Nicole Marie Reavy, LPC
• David Michael Rebber, D.D.S.
• Rebecca Hoyt LCSW

• 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 Nov 20, 2012; 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.