Amanda Stolz, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MT-0024782 Issued in CO

Practice address

70 South Main Street
Keenesburg, CO 80643-8064

Phone

(636) 373-6098

NPI assigned

Dec 13, 2022

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 13, 2022.

{
    "created_epoch": "1670889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670889600000",
    "number": "1760193478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30501 COUNTY ROAD 14",
            "city": "KEENESBURG",
            "state": "CO",
            "postal_code": "806438714",
            "telephone_number": "636-373-6098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 SOUTH MAIN STREET",
            "city": "KEENESBURG",
            "state": "CO",
            "postal_code": "806438064",
            "telephone_number": "636-373-6098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOLZ",
        "first_name": "AMANDA",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-13",
        "last_updated": "2022-12-13",
        "certification_date": "2022-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CO",
            "license": "MT-0024782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benjamin Martinez-Andujo, NP
• Angela S Riemer, LPCC
• Southeast Weld Fire Protection District
• Southeast Weld Fire Protection District
• Margaret Spahn
• Brandi Wiese, RN

• All providers in Keenesburg, CO
• Massage Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2022; 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.