JACQUELYN FEDYK (NPI# 1275039935) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275039935 |
| Entity Type | Individual |
| Full Name | JACQUELYN FEDYK |
| Practice Address |
1918 S Lemay Ave Ste A Fort Collins CO 80525-1295 |
| Mailing Address |
3617 Precision Dr # H264 Fort Collins CO 80528-4594 |
| Practice Telephone | 9702860033 |
| Mailing Telephone | 2069405081 |
| Enumeration Date | 2018-04-02 |
| Last Update Date | 2018-04-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MT.0020282 | CO | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1918 S LEMAY AVE STE A |
| City | FORT COLLINS |
| State | CO |
| Zip Code | 80525-1295 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255502449 | Askew & Gray, Pllp | Specialist | 1918 S Lemay Ave Ste A, Fort Collins, CO 80525-1295 | 2008-03-17 |
| 1184101719 | Lauren Nebbergall | Massage Therapist | 1918 S Lemay Ave Ste A, Fort Collins, CO 80525-1295 | 2018-07-26 |
| 1306343884 | Torrance Lee | Massage Therapist | 1918 S Lemay Ave Ste A, Fort Collins, CO 80525-1295 | 2018-04-10 |
| 1932605656 | Amanda S Smith | Massage Therapist | 1918 S Lemay Ave Ste A, Fort Collins, CO 80525-1295 | 2018-04-02 |
| 1720587892 | Under Pressure Therapeutics | Clinic/Center | 1918 S Lemay Ave Ste A, Fort Collins, CO 80525-1295 | 2018-02-05 |
| 1982147328 | Megan Jett | Specialist | 1918 S Lemay Ave Ste A, Fort Collins, CO 80525-1295 | 2016-12-01 |
| 1134538861 | Erin M Purdy, Ma, Lpc, LLC | Community/Behavioral Health | 1918 S Lemay Ave Ste A, Fort Collins, CO 80525-1295 | 2014-08-06 |
| 1417299587 | Marissa Kae Orchard | Massage Therapist | 1918 S Lemay Ave Ste A, Fort Collins, CO 80525-1295 | 2013-03-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356950299 | Kelly Westbrook Schmalstich | Clinical Nurse Specialist | 2020 Blue Yonder Way, Fort Collins, CO 80525 | 2020-07-27 |
| 1912522376 | Tender Gifts Midwifery and Birth Center | Clinical Nurse Specialist | 1817 Jessup Dr Farms, Fort Collins, CO 80525 | 2020-06-11 |
| 1114566015 | Andrea Nicole Brogdon | Acupuncturist | 2501 S. College Ave, Fort Collins, CO 80525 | 2019-12-26 |
| 1013553593 | Kids Overcoming, LLC | Home Health | 1330 Oakridge Drive Suite 105, Fort Collins, CO 80525 | 2019-11-20 |
| 1568019966 | Julia Heithoff | Behavioral Analyst | 1100 Haxton Dr #115, Fort Collins, CO 80525 | 2019-08-20 |
| 1144875246 | Harmony Smiles Dentistry, LLP | Dentist | 356 E Harmony Rd., #6-a, Fort Collins, CO 80525 | 2019-08-06 |
| 1841774502 | Shannon L Harris | Social Worker | 305 Carpenter Road, Fort Collins, CO 80525 | 2018-09-19 |
| 1306332101 | Joshua Evans Brooks | Optometrist | 375 E Horsetooth Rd Bldg 5 Ste 201, Fort Collins, CO 80525 | 2018-07-03 |
| 1285120212 | Danae Fuqua | Physical Medicine & Rehabilitation | Covell Care & Rehabilitation, 2350 Limon Dr., Fort Collins, CO 80525 | 2018-07-02 |
| 1528552890 | Megan E Locke | Audiologist | 724 Whalers Way Bdg I, Suite 101, Fort Collins, CO 80525 | 2018-06-19 |
| Find all providers in zip 80525 | ||||
| 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 |
|---|---|---|---|---|
| 1073112397 | Elizabeth Lamphere | Massage Therapist | 1743 Glenwood Dr, Fort Collins, CO 80526-1554 | 2020-10-19 |
| 1457958027 | Michael D Groves | Massage Therapist | 4730 S College Ave Ste 103, Fort Collins, CO 80525-3763 | 2020-10-06 |
| 1326651258 | Talya Mcdougall | Massage Therapist | 373 W Drake Rd Ste 9, Fort Collins, CO 80526-2881 | 2020-08-29 |
| 1790396992 | Diane Elizabeth Thomas | Massage Therapist | 1113 Stoney Hill Rd Ste C, Fort Collins, CO 80525-1373 | 2020-08-11 |
| 1760014799 | Sarah Mericle | Massage Therapist | 313 W Drake Rd Ste 240, Fort Collins, CO 80526-2846 | 2020-02-07 |
| 1821629627 | Savanna Loewen | Massage Therapist | 4223 S Mason St Ste B, Fort Collins, CO 80525-3048 | 2020-01-30 |
| 1538713664 | Paul D Bandong | Massage Therapist | 375 E Horsetooth Rd Ste 4104, Fort Collins, CO 80525-4474 | 2019-07-26 |
| 1639722556 | Alana E White | Massage Therapist | 1600 Specht Point Rd Ste 115, Fort Collins, CO 80525-4311 | 2019-07-19 |
| 1376010280 | Erin Lay | Massage Therapist | 1337 Riverside Ave Ste B, Fort Collins, CO 80524-4373 | 2018-10-29 |
| 1639666225 | Aileen Michelle Scoggins | Massage Therapist | 1245 E Lincoln Ave Apt 622, Fort Collins, CO 80524-4748 | 2018-04-18 |
| Find all providers in FORT COLLINS | ||||
| City | FORT COLLINS |
| Zip Code | 80525 |
Please comment or provide details below to improve the information on JACQUELYN FEDYK.
| 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.