NPIMap

Organization Active NPI

Kailo Acupuncture and Massage, Incorporated

  • Massage Therapist
  • Broomfield, CO
National Provider Identifier
1699207191
Registry record updated Apr 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MT.0004934 Issued in CO
Legal business name
KAILO ACUPUNCTURE AND MASSAGE, INCORPORATED
Practice address
2095 W 6TH Ave
Suite 115
Broomfield, CO 80020-1870
Phone
(720) 612-7429
NPI assigned
Apr 3, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2017

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

Authorized official

Name
Melissa Thalia Lefcourt
Title
President
Phone
(720) 612-7429

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 171100000X ACU.0000887 CO
Massage TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225700000X MT.0004934 CO Primary
Massage TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225700000X MT.0001214 CO

Addresses

Primary practice location

2095 W 6TH Ave
Suite 115
Broomfield, CO 80020-1870

Mailing address

2095 W 6TH Ave
Suite 115
Broomfield, CO 80020-1870
Phone (720) 612-7429

National Provider Directory

National Provider Directory

Locations

2095 W 6th Ave
Ste 115
Broomfield, CO 80020
Phone (720) 313-4735

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1491177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491177600000",
    "number": "1699207191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2095 W 6TH AVE",
            "address_2": "SUITE 115",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800201870",
            "telephone_number": "720-612-7429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2095 W 6TH AVE",
            "address_2": "SUITE 115",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800201870",
            "telephone_number": "720-612-7429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAILO ACUPUNCTURE AND MASSAGE, INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-03",
        "last_updated": "2017-04-03",
        "status": "A",
        "authorized_official_last_name": "LEFCOURT",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "THALIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "720-612-7429"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "CO",
            "license": "ACU.0000887",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "CO",
            "license": "MT.0004934",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "CO",
            "license": "MT.0001214",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Broomfield, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2017; 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.