ROBERT MCKENNA (NPI# 1184130619) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1184130619 |
Entity Type | Individual |
Full Name | ROBERT MCKENNA |
Credential | LMT |
Practice Address |
3450 Penrose Pl Ste 220 Boulder CO 80301-1810 |
Mailing Address |
16500 Race St Thornton CO 80602-7640 |
Practice Telephone | 7208401385 |
Mailing Telephone | 7208401385 |
Enumeration Date | 2017-12-20 |
Last Update Date | 2017-12-20 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225700000X | Massage Therapist | 13299 | CO | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043364359 | Robert A Mckenna | Dentist | 466 Pompton Ave, Cedar Grove, NJ 07009-1812 | 2007-01-23 |
1780620930 | Robert Martin Mckenna Jr. | Physician Assistant | 5667 Peachtree Dunwoody Rd, Ne, Suite 350, Atlanta, GA 30342-1725 | 2006-06-22 |
1558351304 | Robert Mckenna | Technician/Technologist | 7517 37th Ave, Jackson Heights, NY 11372-6537 | 2005-10-24 |
1942210117 | Robert Joseph Mckenna Jr. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2121 Santa Monica Blvd, Santa Monica, CA 90404-2303 | 2006-08-09 |
1669431706 | Robert W Mckenna | Pathology | 5323 Harry Hines Blvd, Dallas, TX 75390-7208 | 2006-03-18 |
1912992876 | Robert Charles Mckenna | Physician Assistant | 150 S Huntington Ave, Boston, MA 02130-4817 | 2005-09-16 |
Street Address |
3450 PENROSE PL STE 220 |
City | BOULDER |
State | CO |
Zip Code | 80301-1810 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629604004 | Teresa L Crossland | Counselor | 3450 Penrose Pl Ste 220, Boulder, CO 80301-1810 | 2020-03-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265031454 | Jonathan William Garson | Social Worker | 1790 30th St., Boulder, CO 80301 | 2020-10-20 |
1164048161 | Crossroads Medical Center | Family Medicine | 2760 29th St., Suite 28, Boulder, CO 80301 | 2020-06-25 |
1316585045 | Karissa Marlene Smith | Registered Nurse | 4770 Pearl Street, Suite A, Boulder, CO 80301 | 2019-12-12 |
1184273864 | National Doula Network | Doula | 5918 Gunbarrel Ave Apt E, Boulder, CO 80301 | 2019-09-05 |
1861047086 | Samuel Shay | Chiropractor | 1750 30th St, Ste 1, #226, Boulder, CO 80301 | 2019-08-05 |
1124504808 | Be Free Live Now LLC | Social Worker | 2945 Center Creen Court, Suite G211, Boulder, CO 80301 | 2018-07-16 |
1720596703 | Janis Dochterman | Counselor | 5378 Sterling Drive, Studio #3, Boulder, CO 80301 | 2018-01-12 |
1033628631 | Whitney Shea | Physical Therapy Assistant | 3020 Carbon Place, #330, Physical Therapy of Boulder, Boulder, CO 80301 | 2017-09-26 |
1538688908 | Kyle N. Daniel Dds PC | Dentist | 2830 Valmont Rd, Boulder, CO 80301 | 2017-09-16 |
1497205231 | Jenna Orosco | Counselor | 2945 Center Green Ct. Suite H, Suite H, Boulder, CO 80301 | 2016-10-05 |
Find all providers in zip 80301 |
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 |
---|---|---|---|---|
1386258051 | Jacob Corley | Massage Therapist | 1810 30th St Ste C, Boulder, CO 80301-1025 | 2020-09-01 |
1740899681 | Hushan Zhao | Massage Therapist | 1610 Lee Hill Rd Unit 5, Boulder, CO 80304-0882 | 2020-07-27 |
1619594066 | Jaclyn A. Cole | Massage Therapist | 1035 Pearl St Ste 214, Boulder, CO 80302-5130 | 2020-07-01 |
1235763988 | Shanna Suzanne Stapleton | Massage Therapist | 3333 Iris Ave Ste 207, Boulder, CO 80301-1998 | 2020-03-02 |
1639738172 | Renee M. Ford | Massage Therapist | 4202 Monroe Dr Apt A, Boulder, CO 80303-2187 | 2019-06-09 |
1750945127 | Timothy James Santner | Massage Therapist | 2995 Baseline Rd Ste 110, Boulder, CO 80303-2318 | 2019-04-30 |
1760945976 | Ryan Anthony Borowski | Massage Therapist | 4871 White Rock Cir Apt H, Boulder, CO 80301-3265 | 2019-04-13 |
1609348069 | Alexandra Mcardle Ogsbury | Massage Therapist | 2223 Pine St, Boulder, CO 80302-4606 | 2018-12-26 |
1235625724 | John Rasch | Massage Therapist | 5330 Manhattan Cir Ste G, Boulder, CO 80303-4240 | 2018-07-08 |
1427565951 | Joy Om | Massage Therapist | 4236 Piedra Pl, Boulder, CO 80301-1647 | 2018-01-05 |
Find all providers in BOULDER |
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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.