JEFFREY CLINTON SMITH (NPI# 1447723101) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447723101 |
| Entity Type | Individual |
| Full Name | JEFFREY CLINTON SMITH |
| Practice Address |
254 W Palmer Lake Dr Pueblo West CO 81007-2877 |
| Practice Telephone | 7192871630 |
| Mailing Telephone | 7192871630 |
| Enumeration Date | 2019-01-05 |
| Last Update Date | 2019-01-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MT0018492 | CO | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437768207 | Jeffrey Michael Smith | Nurse Practitioner | 96 Sutton St, Northbridge, MA 01534-1003 | 2020-07-28 |
| 1558989582 | Jeffrey Smith | Registered Nurse | 9200 Basil Ct Ste 100, Upper Marlboro, MD 20774-5309 | 2020-07-07 |
| 1518457738 | Jeffrey David Smith | Student in an Organized Health Care Education/Training Program | 1400 Locust Street Ermire, Suite 11516, Pittsburgh, PA 15219-5114 | 2018-05-14 |
| 1992252100 | Jeffrey Smith | Community/Behavioral Health | 99 Royal Vista Dr Unit 408, Branson, MO 65616-6237 | 2016-09-06 |
| 1790132900 | Jeffrey Smith | Registered Nurse | 209 Cedar Grove Dr, Youngsville, LA 70592-5853 | 2016-05-17 |
| 1538586680 | Jeffrey Smith II | Counselor | 3300 N Tenaya Way Apt 2087, Las Vegas, NV 89129-7416 | 2014-03-26 |
| 1710316773 | Jeffrey Smith | Registered Nurse | 273 Hundred Oaks Pkwy, Summerville, SC 29483-8193 | 2013-11-10 |
| 1487901583 | Jeffrey Dean Smith Jr. | Licensed Vocational Nurse | 1782 W Columbia Way, Hanford, CA 93230-1104 | 2012-08-07 |
| 1326315870 | Jeffrey Paul Smith | Physical Therapy Assistant | 1625 Ocala Ave, Johnstown, PA 15902-3526 | 2011-11-29 |
| 1356643191 | Jeffrey Dale Smith | Behavioral Analyst | 400 Park Cir, Wagoner, OK 74467-3520 | 2010-11-30 |
| Street Address |
254 W PALMER LAKE DR |
| City | PUEBLO WEST |
| State | CO |
| Zip Code | 81007-2877 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811406630 | Southern Colorado Hearing Associates, Inc. | Audiologist | 904 East Hailey Lane, Pueblo West, CO 81007 | 2017-09-25 |
| 1396274361 | Laura Selig | Physical Therapist | 1168 N Thorpe Dr, Pueblo West, CO 81007 | 2017-06-05 |
| 1710351127 | Benjamin Gaines | Speech-Language Pathologist | 1056 W Broken Bow Dr, Pueblo West, CO 81007 | 2015-11-23 |
| 1467861351 | Zoe Grillos | Massage Therapist | 876 S Knox Dr, Pueblo West, CO 81007 | 2014-08-05 |
| 1033454186 | Melissa Lynn Hollis | Occupational Therapy Assistant | 1333 N Blue Lake Ln, Pueblo West, CO 81007 | 2012-11-30 |
| 1336491125 | Patricia Deana Cuadrado | General Practice | 44 E. Spaulding Ave., Pueblo West, CO 81007 | 2012-10-04 |
| 1194088021 | Aaron J Wilson | Chiropractor | 50 S Dunlap Dr, Pueblo West, CO 81007 | 2012-06-15 |
| 1780811893 | Rhonda Renee Grigg | Pediatrics | 332 S Orchard Springs Dr. 150, Pueblo, CO 81007 | 2009-06-16 |
| 1144482191 | Christopher Nicholas Liontas | Dentist | 360 S. Orchard Springs Dr, Pueblo West, CO 81007 | 2008-07-01 |
| 1780855718 | Justin Dean Youngren | Chiropractor | 50 S Dunlap Drive, Pueblo West, CO 81007 | 2008-03-18 |
| Find all providers in zip 81007 | ||||
| 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 |
|---|---|---|---|---|
| 1285094011 | Pure Spa & Wellness | Massage Therapist | 279 S Purcell Blvd Ste 100, Pueblo West, CO 81007-5083 | 2016-03-07 |
| 1467861351 | Zoe Grillos | Massage Therapist | 876 S Knox Dr, Pueblo West, CO 81007 | 2014-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992306799 | Krista Denovellis | Massage Therapist | 3785 Grove St, Denver, CO 80211-2746 | 2020-11-06 |
| 1841891074 | Kristen Gutierrez | Massage Therapist | 6270 Lehman Dr Ste 250, Colorado Springs, CO 80918-1450 | 2020-11-04 |
| 1043810229 | Rae Marie Minear | Massage Therapist | 1075 S Yukon St Ste 340, Lakewood, CO 80226-4333 | 2020-10-28 |
| 1447850565 | Ashley Marie Dinkel | Massage Therapist | 3218 Lake Park Way Apt 102, Longmont, CO 80503-7805 | 2020-10-28 |
| 1003416579 | Sarah Wells | Massage Therapist | 1314 Jersey St, Denver, CO 80220-2650 | 2020-10-26 |
| 1831799337 | Denise Michele Archer | Massage Therapist | 10852 W 67th Pl, Arvada, CO 80004-2741 | 2020-10-26 |
| 1629677190 | Brittany Adele Labauve | Massage Therapist | 1396 Flannagan Ct, Erie, CO 80516-6941 | 2020-10-25 |
| 1811596406 | Richard Allen Enocksen II | Massage Therapist | 5551 29th St Unit 715, Greeley, CO 80634-8326 | 2020-10-23 |
| 1962001222 | Carrie Wilkerson | Massage Therapist | 10564 Cherry St, Thornton, CO 80233-4539 | 2020-10-19 |
| 1073112397 | Elizabeth Lamphere | Massage Therapist | 1743 Glenwood Dr, Fort Collins, CO 80526-1554 | 2020-10-19 |
| Find all providers with the same taxonomy | ||||
| City | PUEBLO WEST |
| Zip Code | 81007 |
Please comment or provide details below to improve the information on JEFFREY CLINTON SMITH.
| 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.