MR. BRYAN S DEWAR (NPI# 1255805842) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255805842 |
| Entity Type | Individual |
| Full Name | MR. BRYAN S DEWAR |
| Credential | LMT |
| Practice Address |
21 Macalester Rd Pueblo CO 81001-2009 |
| Practice Telephone | 7195431467 |
| Mailing Telephone | 7195431467 |
| Enumeration Date | 2019-01-16 |
| Last Update Date | 2019-01-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MT.0022248 | CO | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
21 MACALESTER RD |
| City | PUEBLO |
| State | CO |
| Zip Code | 81001-2009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588222863 | 1111 Bonforte Opco LLC | Respite Care | 855 Hunter Dr., Pueblo, CO 81001 | 2019-06-03 |
| 1992276026 | Andrew Benjamin Basham | Counselor | 1003 Rupple St Pueblo Co 81001, 606, Pueblo, CO 81001 | 2018-12-16 |
| 1316456981 | Amy R Leibli | Nurse Practitioner | 1080 Chinook Lane, Pueblo, CO 81001 | 2017-09-26 |
| 1457781262 | Ron Concialdi | Dentist | 2037 Jerry Murphy Rd., Pueblo, CO 81001 | 2013-11-14 |
| 1609146950 | Natasha Liette Mondragon | Registered Nurse | 1302 E. 5th, Pueblo, CO 81001 | 2012-01-04 |
| 1023303575 | Malinda Lee Davis | Registered Nurse | 1302 E 5th, Pueblo, CO 81001 | 2011-06-13 |
| 1679876429 | Michael Edward Leyba | Substance Abuse Rehabilitation Facility | 4 Montebello Rd., Pueblo, CO 81001 | 2010-12-17 |
| 1609008796 | Laura Ann Mcmahon | Nurse Practitioner | 4020 Jerry Murphy Rd/, Pueblo, CO 81001 | 2009-08-21 |
| 1730380882 | Corrine Stella Tafoya | Counselor | 44 Calhoun Rd, Pueblo, CO 81001 | 2007-05-29 |
| 1518171008 | George Henry Beck | Dentist | 1700 N Salem Ave, Suite A, Pueblo, CO 81001 | 2007-05-10 |
| Find all providers in zip 81001 | ||||
| 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 |
|---|---|---|---|---|
| 1225645286 | Laura Leeanne Jimison | Massage Therapist | 3933 Elk Ln, Pueblo, CO 81005-3095 | 2020-09-24 |
| 1881236529 | Jennifer Noel Klipfel | Massage Therapist | 356 S Mcculloch Blvd Ste 106b, Pueblo, CO 81007-2847 | 2019-10-15 |
| 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.