Kneaded LLC

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MT.0013355 Issued in CO

Legal business name

KNEADED LLC

Practice address

3000 Pearl St Ste G2
Boulder, CO 80301-2470

Phone

(303) 919-6042

NPI assigned

Nov 17, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Edward Westhead, CMT

Title

Owner

Phone

(303) 919-6042

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1353110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353110400000",
    "number": "1699019448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 PEARL ST STE G2",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803012470",
            "telephone_number": "303-919-6042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 PEARL ST STE G2",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803012470",
            "telephone_number": "303-919-6042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KNEADED LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-17",
        "last_updated": "2012-11-17",
        "status": "A",
        "authorized_official_last_name": "WESTHEAD",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-919-6042",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "CO",
            "license": "MT.0013355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles Knapp
• Douglas R Knapp
• Ellen Knapp, MA, LPC, GCM
• Hedi Benton Knapp
• Karin Rose Hagerman Knapp, M.D.
• Katherine Ellis Knight, PHD
• Sarah Renae Knight, RN
• Deborah Benjamin Knoll, LCSW
• Ava Sidonie Knoshaug
• Mackenzie Elizabeth Knoten

• 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 17, 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.