ELISABETH ELLENBERGER (NPI# 1336591809) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336591809 |
| Entity Type | Individual |
| Full Name | ELISABETH ELLENBERGER |
| Practice Address |
4710 Table Mesa Dr Suite B Boulder CO 80305-4503 |
| Practice Telephone | 3034999892 |
| Mailing Telephone | 3034999892 |
| Enumeration Date | 2016-07-08 |
| Last Update Date | 2016-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 0017087 | CO | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
4710 TABLE MESA DR SUITE B |
| City | BOULDER |
| State | CO |
| Zip Code | 80305-4503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902296551 | Peter Haywood | Massage Therapist | 4710 Table Mesa Dr, Suite B, Boulder, CO 80305-4503 | 2015-02-03 |
| 1417302654 | Annsley Roozing | Massage Therapist | 4710 Table Mesa Dr, Boulder, CO 80305-4503 | 2016-04-25 |
| 1194186023 | Lance Spencer | Massage Therapist | 4710 Table Mesa Dr, Suite B, Boulder, CO 80305-4503 | 2016-03-20 |
| 1033584834 | Laura Allen | Massage Therapist | 4710 Table Mesa Dr, Suite B, Boulder, CO 80305-4503 | 2015-12-04 |
| 1871960138 | Charlene Jourdan | Massage Therapist | 4710 Table Mesa Dr, Suite B, Boulder, CO 80305-4503 | 2015-08-21 |
| 1164812715 | Jennifer Quilling | Massage Therapist | 4710 Table Mesa Dr, Suite B, Boulder, CO 80305-4503 | 2015-02-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538698923 | Carian Mclean | Registered Nurse | 1013 Berea Dr, Boulder, CO 80305 | 2017-06-08 |
| 1548629439 | Kimberly Norquist | Dental Hygienist | 661 S. Broadway St, Boulder, CO 80305 | 2016-02-19 |
| 1871981266 | Kathleen Anne Stone | Registered Nurse | 3680 Silver Plume Lane, Boulder, CO 80305 | 2015-01-07 |
| 1104235779 | Joyce Larson | Marriage & Family Therapist | 1190 S Lashley Ln, Boulder, CO 80305 | 2014-08-07 |
| 1982035788 | Virginia Pleasants Vandenbergh | Counselor | 4760 Ludlow St, Boulder, CO 80305 | 2013-12-03 |
| 1790992550 | Jasjit Singh Gill | Pharmacist | The Apothecary Pharmacy - University of Colorado, 350 Broadway Ste. 50, Boulder, CO 80305 | 2007-05-17 |
| 1477768299 | Stephen W Laycock | Dentist | 4150 Darley Ave., Suite 7, Boulder, CO 80305 | 2007-05-14 |
| 1871614560 | Steven Leslie Buffer | Dentist | 385 Broadway St, Boulder, CO 80305 | 2007-04-02 |
| 1801927793 | Jeffrey Dann | Acupuncturist | 3400 Table Mesa Drive, Ste. 205, Boulder, CO 80305 | 2007-03-09 |
| 1235292145 | Pharmaca Integrative Pharmacy | Exclusive Provider Organization | 645 South Boulder, Boulder, CO 80305 | 2006-12-19 |
| Find all providers in zip 80305 | ||||
| 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.