Organization Active NPI

The Mindful Body Collective

  • Massage Therapist
  • Cedaredge, CO
National Provider Identifier
1952106536
Registry record updated Feb 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
THE MINDFUL BODY COLLECTIVE
Practice address
290 W Main St
Cedaredge, CO 81413-3338
Phone
(970) 238-0104
NPI assigned
Feb 17, 2025
Last updated
Feb 18, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2025

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

Authorized official

Name
Eric Dyer, MASSAGE THERAPISTNPI 1376279554
Title
Owner Practicioner
Phone
(970) 238-0104

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X NU Primary

Addresses

Primary practice location

290 W Main St
Cedaredge, CO 81413-3338

Mailing address

PO Box 967
Cedaredge, CO 81413-0967

National Provider Directory

National Provider Directory

Locations

290 W Main St
Cedaredge, CO 81413
Phone (970) 238-0104

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1739750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739836800000",
    "number": "1952106536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 967",
            "city": "CEDAREDGE",
            "state": "CO",
            "postal_code": "814130967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 W MAIN ST",
            "city": "CEDAREDGE",
            "state": "CO",
            "postal_code": "814133338",
            "telephone_number": "970-238-0104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MINDFUL BODY COLLECTIVE",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-17",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "status": "A",
        "authorized_official_last_name": "DYER",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "OWNER PRACTICIONER",
        "authorized_official_telephone_number": "970-238-0104",
        "authorized_official_credential": "MASSAGE THERAPIST"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedaredge, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2025; 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.