Natural Earth Healing Center

Primary specialty

MechanotherapistTaxonomy code 172M00000X

License

10787 Issued in CO

Legal business name

NATURAL EARTH HEALING CENTER

Practice address

620 S Cascade Ave
#130
Colorado Springs, CO 80903-4039

Phone

(719) 632-5784

NPI assigned

Oct 27, 2016

Last updated

Oct 27, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Mary Jo Nichols, LMT

Title

Owner/Therapist

Phone

(719) 623-5874

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1477526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477526400000",
    "number": "1891247615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 S CASCADE AVE",
            "address_2": "#130",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809034039",
            "telephone_number": "719-632-5784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 S CASCADE AVE",
            "address_2": "#130",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809034039",
            "telephone_number": "719-632-5784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATURAL EARTH HEALING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-27",
        "last_updated": "2016-10-27",
        "status": "A",
        "authorized_official_last_name": "NICHOLS",
        "authorized_official_first_name": "MARY JO",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "719-623-5874",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "172M00000X",
            "taxonomy_group": "",
            "desc": "Mechanotherapist",
            "state": "CO",
            "license": "10787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Eric Donald Nau, M.D.
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• Mechanotherapist in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Mechanotherapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2016; 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.