Active NPI
Lacy Kreachbaum, LMT
- Massage Therapist
- Lakewood, CO
National Provider Identifier
1841668043
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- MT.0016520
- Practice address
- 1662 S Deframe St Unit B8
Lakewood, CO 80228-6018 - Phone
- (720) 425-8615
- NPI assigned
- Sep 4, 2015
- Sex
- Female
- 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.0016520 | CO | Primary |
Addresses
Primary practice location
1662 S Deframe St Unit B8
Lakewood, CO 80228-6018
Mailing address
1662 S Deframe St Unit B8
Lakewood, CO 80228-6018
Phone (720) 425-8615
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.0016520 | CO | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1441324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1441324800000",
"number": "1841668043",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1662 S DEFRAME ST UNIT B8",
"city": "LAKEWOOD",
"state": "CO",
"postal_code": "802286018",
"telephone_number": "720-425-8615"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1662 S DEFRAME ST UNIT B8",
"city": "LAKEWOOD",
"state": "CO",
"postal_code": "802286018",
"telephone_number": "720-425-8615"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KREACHBAUM",
"first_name": "LACY",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-09-04",
"last_updated": "2015-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CO",
"license": "MT.0016520",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lakewood, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.