Active NPI
Sally Crichton Miller
- Massage Therapist
- Trinidad, CO
National Provider Identifier
1730229451
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 711378
- Practice address
- 417 University St
Trinidad, CO 81082-2553 - Phone
- (719) 679-2111
- NPI assigned
- Feb 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 711378 | CO | Primary |
Addresses
Primary practice location
417 University St
Trinidad, CO 81082-2553
Mailing address
20981 US Highway 350
Trinidad, CO 81082-8618
Phone (719) 846-3027
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 711378 | CO | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1424044800000",
"number": "1730229451",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20981 US HIGHWAY 350",
"city": "TRINIDAD",
"state": "CO",
"postal_code": "810828618",
"telephone_number": "719-846-3027"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "417 UNIVERSITY ST",
"city": "TRINIDAD",
"state": "CO",
"postal_code": "810822553",
"telephone_number": "719-679-2111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "SALLY",
"middle_name": "CRICHTON",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-08",
"last_updated": "2015-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CO",
"license": "711378",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Trinidad, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.