MS. MICHELE THEOHARRIS (NPI# 1114492378) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114492378 |
| Entity Type | Individual |
| Full Name | MS. MICHELE THEOHARRIS |
| Credential | LMT |
| Practice Address |
5400 Ward Rd Bldg 2 Arvada CO 80002-1819 |
| Mailing Address |
13813 W 68th Ave Arvada CO 80004-2038 |
| Practice Telephone | 3036411735 |
| Mailing Telephone | 3036411735 |
| Enumeration Date | 2018-10-03 |
| Last Update Date | 2018-10-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 2999 | CO | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
5400 WARD RD BLDG 2 |
| City | ARVADA |
| State | CO |
| Zip Code | 80002-1819 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568949972 | Brenna Mcguigan | Behavior Technician | 5400 Ward Rd Bldg 2, Arvada, CO 80002-1819 | 2018-07-27 |
| 1588202147 | Elizabeth Tracey Straka | Behavioral Analyst | 5400 Ward Rd Bldg 2, Arvada, CO 80002-1819 | 2019-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578036679 | Mountain Valley Mental Health, LLC | Nurse Practitioner | 5400 Ward Rd Building V, Suite 110, Arvada, CO 80002 | 2019-01-10 |
| 1013407865 | University of Colorado Hospital Authority | Clinic/Center | 9505 Ralston Rd., Arvada, CO 80002 | 2018-05-17 |
| 1023513793 | Kent Lamountdo Jones | Behavior Technician | Aspen Business Park 5400 Building II Suite G-101, Arvada, CO 80002 | 2018-03-26 |
| 1023536638 | Jennifer Rindt | Pharmacist | 5656 Ward Way Unit A, Arvada, CO 80002 | 2017-09-03 |
| 1396273884 | Rocky Mountain Physicians Group, PC | Clinic/Center | 9250 Ralston Rd, Arvada, CO 80002 | 2017-05-26 |
| 1164955852 | Wal-mart Stores, Inc. | Eyewear Supplier (Equipment, not the service) | 9400 Ralston Road, Arvada, CO 80002 | 2017-04-10 |
| 1003355173 | Ohana Service Agency | Foster Care Agency | 8600 Ralston Rd # L103, Arvada, CO 80002 | 2017-02-22 |
| 1053863738 | Parker Personal Care Homes, Inc. | Day Training, Developmentally Disabled Services | 6055 West 55th Place, Arvada, CO 80002 | 2016-10-28 |
| 1316397433 | Cortez Harvey | Counselor | 5275 Marshall St Ste 101, Arvada, CO 80002 | 2016-06-20 |
| 1013311216 | Peter J Dahlberg | Nurse Practitioner | 5400 Ward Rd Ste 110, Arvada, CO 80002 | 2014-10-16 |
| Find all providers in zip 80002 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831799337 | Denise Michele Archer | Massage Therapist | 10852 W 67th Pl, Arvada, CO 80004-2741 | 2020-10-26 |
| 1831796143 | Angela M Jackson | Massage Therapist | 8795 Ralston Rd Ste 202d, Arvada, CO 80002-2357 | 2020-10-08 |
| 1841806411 | Kymberly Kay Brooks | Massage Therapist | 6872 Wadsworth Blvd, Arvada, CO 80003-3406 | 2020-09-19 |
| 1558970665 | George Santiago Hughes | Massage Therapist | 6872 Wadsworth Blvd Unit B, Arvada, CO 80003-3406 | 2020-07-24 |
| 1790309466 | Lottie Adelea Brown | Massage Therapist | 6400 Raleigh St, Arvada, CO 80003-6435 | 2020-05-29 |
| 1326684804 | Daniel W Ullman | Massage Therapist | 7522 Lupine Ct, Arvada, CO 80007-7899 | 2019-11-20 |
| 1912474370 | Sharee Taylor | Massage Therapist | 5945 Ward Rd Ste 230, Arvada, CO 80004-3901 | 2018-10-24 |
| 1679058143 | Jennifer Nicole Montoya | Massage Therapist | 4445 W 63rd Ave, Arvada, CO 80003-6603 | 2018-10-01 |
| 1215444641 | Correen Avon Balicki | Massage Therapist | 6979 Hoyt Ct, Arvada, CO 80004-1665 | 2018-01-08 |
| 1306351838 | Jessica Wilson Goodnight | Massage Therapist | 6559 W 66th Ave, Arvada, CO 80003-4524 | 2017-12-06 |
| Find all providers in ARVADA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.