Mindful Massage and Bodywork, LLC

Primary specialty

Point of ServiceTaxonomy code 305S00000X

License

MT.0011246 Issued in CO

Legal business name

MINDFUL MASSAGE AND BODYWORK, LLC

Practice address

1919 65TH Ave
Suite 3
Greeley, CO 80634-7965

Phone

(970) 213-8340

NPI assigned

May 5, 2015

Organization subpart

No

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

Authorized official

Name

Rachel Elizabeth Petty

Title

LMT/Owner

Phone

(970) 213-8340

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1430784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430784000000",
    "number": "1851778245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 65TH AVE",
            "address_2": "SUITE 3",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806347965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 65TH AVE",
            "address_2": "SUITE 3",
            "city": "GREELEY",
            "state": "CO",
            "postal_code": "806347965",
            "telephone_number": "970-213-8340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL MASSAGE AND BODYWORK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-05",
        "last_updated": "2015-05-05",
        "status": "A",
        "authorized_official_last_name": "PETTY",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "LMT/OWNER",
        "authorized_official_telephone_number": "970-213-8340"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "CO",
            "license": "MT.0011246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Point of Service in Greeley, CO
• Providers in Greeley, CO by specialty
• Point of Service in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 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.

Verify at the official NPI Registry.