Bodyworks Therapeutic Massage LLC

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

BODYWORKS THERAPEUTIC MASSAGE LLC

Practice address

4340 E Kentucky Ave Ste 446
Glendale, CO 80246-2078

Phone

(303) 759-1400

Fax

(888) 308-3557

NPI assigned

Dec 28, 2011

Organization subpart

No

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

Authorized official

Name

Julie B Wallace, CMT

Title

Owner

Phone

(303) 759-1400

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1325030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325030400000",
    "number": "1962771584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4340 E KENTUCKY AVE STE 446",
            "city": "GLENDALE",
            "state": "CO",
            "postal_code": "802462078",
            "telephone_number": "303-759-1400",
            "fax_number": "888-308-3557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4340 E KENTUCKY AVE STE 446",
            "city": "GLENDALE",
            "state": "CO",
            "postal_code": "802462078",
            "telephone_number": "303-759-1400",
            "fax_number": "888-308-3557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODYWORKS THERAPEUTIC MASSAGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-28",
        "last_updated": "2011-12-28",
        "status": "A",
        "authorized_official_last_name": "WALLACE",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-759-1400",
        "authorized_official_credential": "CMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Massage Therapist in Glendale, CO
• Providers in Glendale, CO by specialty
• Massage Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2011; 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.