Redefine Relief, LLC

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

15496 Issued in CO

Legal business name

REDEFINE RELIEF, LLC

Practice address

11859 Pecos St
Westminster, CO 80234-2741

Phone

(312) 351-5245

NPI assigned

Jun 30, 2015

Organization subpart

No

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

Authorized official

Name

Shannon Glorioso, LMT

Title

Member

Phone

(312) 351-5245

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1435622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435622400000",
    "number": "1952784563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 352076",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800352076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11859 PECOS ST",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "802342741",
            "telephone_number": "312-351-5245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDEFINE RELIEF, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-30",
        "last_updated": "2015-06-30",
        "status": "A",
        "authorized_official_last_name": "GLORIOSO",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "312-351-5245",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "CO",
            "license": "15496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 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.