LAURA LEEANNE JIMISON (NPI# 1225645286) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1225645286 |
Entity Type | Individual |
Full Name | LAURA LEEANNE JIMISON |
Credential | LMT |
Practice Address |
3933 Elk Ln Pueblo CO 81005-3095 |
Practice Telephone | 7196962726 |
Mailing Telephone | 7196962726 |
Enumeration Date | 2020-09-24 |
Last Update Date | 2020-09-24 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225700000X | Massage Therapist | MT.0022119 | CO | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
3933 ELK LN |
City | PUEBLO |
State | CO |
Zip Code | 81005-3095 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225595630 | Kimberly Warfield | Specialist | 5825 W Hwy 78, Pueblo, CA 81005 | 2019-02-22 |
1417461823 | Yah Vision | Optometrist | 2568 Taylor Ln, Pueblo, CO 81005 | 2017-11-21 |
1245758168 | Jenny C Alas | Dentist | 2603 Vinewood Lane, Pueblo, CO 81005 | 2017-08-30 |
1801342472 | Cynthia Watson | Counselor | 2429 S. Prairie Avenue, Pueblo, CO 81005 | 2016-09-01 |
1598033664 | Kyle Andrew Bonds | Pharmacist | 2900 W. Northern Ave., Pueblo, CO 81005 | 2011-12-05 |
1346406196 | Samantha Coleman | Counselor | 2429 S Prairie Ave, Pueblo, CO 81005 | 2008-07-31 |
1184890915 | Hg Stringert Dds, Ms, PC | Dentist | 3955 Sandlewood Lane, Pueblo, CO 81005 | 2008-05-01 |
1992902423 | David Russell Baer | Dentist | 2041 Pepper Lane, Ste A, Pueblo, CO 81005 | 2007-06-28 |
1659443695 | Thomas Wesley Ready | Dentist | 643 So Pueblo Blvd, Pueblo, CO 81005 | 2006-11-14 |
1700969029 | Bradley Michael Almond | Dentist | 1221 S Pueblo Blvd, Pueblo, CO 81005 | 2006-10-23 |
Find all providers in zip 81005 |
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 |
---|---|---|---|---|
1881236529 | Jennifer Noel Klipfel | Massage Therapist | 356 S Mcculloch Blvd Ste 106b, Pueblo, CO 81007-2847 | 2019-10-15 |
1255805842 | Bryan S Dewar | Massage Therapist | 21 Macalester Rd, Pueblo, CO 81001-2009 | 2019-01-16 |
1275017873 | Oliver Gahlen Crawford Jr. | Massage Therapist | 2025 N Norwood Ave Ste B, Pueblo, CO 81001-5668 | 2018-09-19 |
1972081693 | Angela Kaye Matthews | Massage Therapist | 3915 Outlook Blvd Ste C1, Pueblo, CO 81008-2604 | 2018-08-03 |
1932686698 | Leah Urrutia | Massage Therapist | 517 W 5th St Ste 109, Pueblo, CO 81003-3186 | 2018-07-25 |
1609362243 | Ee Bean Hiam | Massage Therapist | 63 E Spaulding Ave # W113, Pueblo, CO 81007-5416 | 2018-07-06 |
1598268567 | Patty Raelene Wilson | Massage Therapist | 301 N Main St Ste 301, Pueblo, CO 81003-3259 | 2018-03-15 |
1568976835 | Nicole Laureano | Massage Therapist | 3911 Outlook Blvd Ste B, Pueblo, CO 81008-1624 | 2017-11-25 |
1891208385 | Amgelique Garcia | Massage Therapist | 2033 Pepper Ln, Pueblo, CO 81005-3276 | 2017-11-07 |
1780194886 | Nevis Ann Edwards | Massage Therapist | 2520 S Prairie Ave, Pueblo, CO 81005-3169 | 2017-10-04 |
Find all providers in PUEBLO |
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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.