Hillary Dawn Homer, LMT
Individual provider Active NPI Massage Therapist · Leadville, CO
NPI 1750112124 · NPPES record last updated Aug 8, 2024
Key facts
- NPI
- 1750112124
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- License
- 0023919 (CO)
- Practice address
- 711 Harrison Ave Ste E
Leadville, CO 80461-3542 - Phone
- (360) 580-0655
- NPI assigned
- Aug 8, 2024
- 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 |
|---|---|---|---|
| 0023919 | CO | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Doula | 374J00000X | |||
| Massage Therapist | 225700000X | 0023919 | CO | Yes |
Addresses
Primary practice location
711 Harrison Ave Ste E
Leadville, CO 80461-3542
Mailing address
64 Adelaide CT
Leadville, CO 80461-3792
Phone (360) 580-0655
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All providers in Leadville, CO · Massage Therapist in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 8, 2024. 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.