Active NPI
Christopher Latkowski, LMT
- Massage Therapist
- Boulder, CO
National Provider Identifier
1760904544
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MT.0017804
- Practice address
- 2868 30TH St
Boulder, CO 80301-1212 - Phone
- (303) 440-1440
- NPI assigned
- Jul 12, 2017
- Sex
- Male
- 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 | MT.0017804 | CO | Primary |
Addresses
Primary practice location
2868 30TH St
Boulder, CO 80301-1212
Mailing address
2635 Mapleton Ave #151
Boulder, CO 80304
Phone (720) 636-5131
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MT.0017804 | Other | CO | MASSAGE THERAPY LICENCE - COLORADO DIVISION OF PROFESSIONS AND OCCUPATIONS |
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 |
|---|---|---|---|
| MT.0017804 | CO | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1499817600000",
"number": "1760904544",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2635 MAPLETON AVE #151",
"city": "BOULDER",
"state": "CO",
"postal_code": "80304",
"telephone_number": "720-636-5131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2868 30TH ST",
"city": "BOULDER",
"state": "CO",
"postal_code": "803011212",
"telephone_number": "303-440-1440"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LATKOWSKI",
"first_name": "CHRISTOPHER",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-07-12",
"last_updated": "2017-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CO",
"license": "MT.0017804",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MASSAGE THERAPY LICENCE - COLORADO DIVISION OF PROFESSIONS AND OCCUPATIONS",
"identifier": "MT.0017804",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Boulder, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.