Pure Massage Boulder LLC.

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

PURE MASSAGE BOULDER LLC.

Practice address

1280 Yellow Pine Ave
Boulder, CO 80304-2264

Phone

(303) 909-5480

NPI assigned

Jun 13, 2014

Organization subpart

No

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

Authorized official

Name

Mrs. Tracey Jacobs-Haimann, LMT

Title

Owner

Phone

(303) 909-5480

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1402617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402617600000",
    "number": "1740694066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3656 PINEDALE ST",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803013711",
            "telephone_number": "303-909-5480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1280 YELLOW PINE AVE",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803042264",
            "telephone_number": "303-909-5480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURE MASSAGE BOULDER LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-13",
        "last_updated": "2014-06-13",
        "status": "A",
        "authorized_official_last_name": "JACOBS-HAIMANN",
        "authorized_official_first_name": "TRACEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-909-5480",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASSAGE THERAPIST",
            "identifier": "225700000X",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heather C Pujet, M.D.
• Edith Guadalupe Purcell, MA ECSE
• Elizabeth Purcell, DC
• Eileen Purdy, MSW, M.ED.
• Naomi C Purdy, MD
• Pursuits Coaching and Psychotherapy
• Julia Putnam
• Amy Katelyn Putrus-Schnell, DC
• Darin Rachel Pyatt, LPC
• Heather Pylant

• Health Service Clinic/Center in Boulder, CO
• Providers in Boulder, CO by specialty
• Health Service Clinic/Center in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2014; 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.