ANGIE BODE (NPI# 1467874735) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467874735 |
| Entity Type | Individual |
| Full Name | ANGIE BODE |
| Practice Address |
102 S Tejon St 102a Colorado Springs CO 80903-2231 |
| Mailing Address |
102 S Tejon St Colorado Springs CO 80903-2231 |
| Practice Telephone | 7192375690 |
| Enumeration Date | 2014-01-06 |
| Last Update Date | 2014-01-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 0002605 | CO | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | STATE LICENSE | MT.00002605 | 01 |
| Street Address |
102 S TEJON ST 102A |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80903-2231 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679897888 | Kimberly Michelle Hardesty | Counselor | 102 S Tejon St, Suite 1100, Colorado Springs, CO 80903-2231 | 2010-03-16 |
| 1770108276 | Pdi Health Co LLC | Clinic/Center | 102 S Tejon St, Colorado Springs, CO 80903-2231 | 2020-06-10 |
| 1124643630 | Pdi Health Co LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 102 S Tejon St, Colorado Springs, CO 80903-2231 | 2020-06-10 |
| 1952705998 | Chandra Enright-wallace | Massage Therapist | 102 S Tejon St, Suite 102a, Colorado Springs, CO 80903-2231 | 2014-10-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235752437 | Lisa Mae Bunch | Behavior Technician | 102 South Tajon St. Ste 1100, Colorado Springs, CO 80903 | 2020-05-21 |
| 1164045407 | Lajanae Davis | Behavior Technician | 102 S. Tajon Street Ste. 1100, Colorado Springs, CO 80903 | 2020-05-21 |
| 1144855321 | Quinn Macdonald | Specialist/Technologist | 1332 N Weber Street, Colorado Springs, CO 80903 | 2020-03-08 |
| 1043784994 | Neuro Peak Performance, LLC | Counselor | 801 N. Weber St Suite 101, Colorado Springs, CO 80903 | 2019-01-14 |
| 1356828297 | Heart of The Phoenix, LLC | Social Worker | 1422 N Hancock Ave Ste 1, Colorado Springs, CO 80903 | 2018-07-24 |
| 1699269290 | Jenevieve Marie Briand | Day Training/Habilitation Specialist | 427 E Colorado Ave Ste 225, Colorado Springs, CO 80903 | 2018-06-18 |
| 1669983292 | Robin Dina Shankman | Massage Therapist | 127 E. Las Animas, Colorado Springs, CO 80903 | 2017-10-23 |
| 1023559804 | Sean Michael Blumahrdt | Specialist/Technologist, Other | 13 South Tejon St, Ste 501, Colorado Springs, CO 80903 | 2017-03-14 |
| 1366980682 | Edge Medical Services | Clinic/Center | 152 West Colorado Ave, Colorado Springs, CO 80903 | 2017-02-07 |
| 1093267890 | Brittany Nicole Holmes | Behavioral Analyst | 938 S Sierra Madre, Colorado Springs, CO 80903 | 2016-10-27 |
| Find all providers in zip 80903 | ||||
| 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 |
|---|---|---|---|---|
| 1841891074 | Kristen Gutierrez | Massage Therapist | 6270 Lehman Dr Ste 250, Colorado Springs, CO 80918-1450 | 2020-11-04 |
| 1518564558 | Curtis Brazee | Massage Therapist | 3604 Galley Rd Ste 304, Colorado Springs, CO 80909-4302 | 2020-10-02 |
| 1598371858 | Anna J Higgs | Massage Therapist | 415 Squire Ct, Colorado Springs, CO 80911-2355 | 2020-09-21 |
| 1659987253 | Rebecca Lambert-wade | Massage Therapist | 1753 S 8th St Ste C2, Colorado Springs, CO 80905-1974 | 2020-09-18 |
| 1578179354 | Shanti Demayo | Massage Therapist | 5350 Tomah Dr Ste 1300, Colorado Springs, CO 80918-6983 | 2020-09-17 |
| 1679187033 | Alyssa D. Walker | Massage Therapist | 3460 Beechwood Ct, Colorado Springs, CO 80918-6414 | 2020-09-03 |
| 1376160481 | Kiley-marie Villalpando | Massage Therapist | 4320 Loomis Ave Apt C, Colorado Springs, CO 80906-5213 | 2020-07-06 |
| 1609492370 | Shelly Ann Cox | Massage Therapist | 2929 N Prospect St Ste 104, Colorado Springs, CO 80907-6326 | 2020-06-18 |
| 1891310108 | Nicole Kunz | Massage Therapist | 1912 W Uintah St, Colorado Springs, CO 80904-2740 | 2020-06-11 |
| 1790300481 | Lea Marie Abbott | Massage Therapist | 1545 Gatehouse Cir N Apt 204, Colorado Springs, CO 80904-2967 | 2020-06-09 |
| Find all providers in COLORADO SPRINGS | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80903 |
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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.