Medical Masage Center, Inc.

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

MEDICAL MASAGE CENTER, INC.

Doing business as

Colorado Wellness Group

Practice address

8370 W Coal Mine Ave
Suite 106
Littleton, CO 80123-4401

Phone

(303) 979-0342

Fax

(303) 979-3872

NPI assigned

Apr 12, 2006

Organization subpart

No

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

Authorized official

Name

Sue Jernigan, R.N.

Title

Owner

Phone

(303) 979-0342

Specialties & licenses 1

Addresses

Other names 1

• Colorado Wellness Group Doing business as

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

{
    "created_epoch": "1144800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1780648386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8370 W COAL MINE AVE",
            "address_2": "SUITE 106",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801234401",
            "telephone_number": "303-979-0342",
            "fax_number": "303-979-3872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8370 W COAL MINE AVE",
            "address_2": "SUITE 106",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801234401",
            "telephone_number": "303-979-0342",
            "fax_number": "303-979-3872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL MASAGE CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JERNIGAN",
        "authorized_official_first_name": "SUE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-979-0342",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Colorado Wellness Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Specialist in Littleton, CO
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• Specialist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.