Diamond Nicole Horner, MASSAGE THERAPIST
Individual provider Active NPI Massage Therapist · Simla, CO
NPI 1699637165 · NPPES record last updated Dec 2, 2025
Key facts
- NPI
- 1699637165
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- MT.0018616 (CO)
- Practice address
- 27925 Bambi Ave
Simla, CO 80835-8900 - Phone
- (720) 955-4055
- NPI assigned
- Dec 2, 2025
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT.0018616 | CO | MD | Massage Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | MT.0018616 | CO | Yes |
Addresses
Primary practice location
27925 Bambi Ave
Simla, CO 80835-8900
Mailing address
27925 Bambi Ave
Simla, CO 80835-8900
Phone (720) 955-4055
Other providers in Simla, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 2, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.