BOULDER THERAPEUTICS, INC. (NPI# 1508030529) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508030529 |
| Entity Type | Organization |
| Organization Name | BOULDER THERAPEUTICS, INC. |
| Practice Address |
1790 30th St Suite #200 Boulder CO 80301-1022 |
| Practice Telephone | 3034441171 |
| Practice Fax Number | 3032587425 |
| Mailing Telephone | 3034441171 |
| Mailing Fax Number | 3032587425 |
| Enumeration Date | 2008-04-22 |
| Last Update Date | 2008-04-22 |
| Authorized Official Name | MR. DAVID GEORGE ABOOKIRE (PRESIDENT/DIRECTOR OF THERAPIES) |
| Authorized Official Telephone | 3034441171 |
| Authorized Official Credential | CMT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | CO | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245668474 | Boulder Therapeutics, Inc. | Massage Therapist | 1800 30th St Ste 215, Boulder, CO 80301-1026 | 2013-10-25 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Boulder Therapeutics, Inc. | 1800 30th Street, Suite 219, Boulder, CO 80301 |
| Street Address |
1790 30TH ST SUITE #200 |
| City | BOULDER |
| State | CO |
| Zip Code | 80301-1022 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831184381 | Myra Beth Tuckerman | Family Medicine | 1790 30th St, Suite 308, Boulder, CO 80301-1022 | 2005-09-12 |
| 1649883752 | Abigail Mucklow | Occupational Therapist | 1790 30th St, Boulder, CO 80301-1022 | 2020-08-28 |
| 1760867089 | Ramya Shyam | Speech-Language Pathologist | 1790 30th St, Suite 120, Boulder, CO 80301-1022 | 2015-07-28 |
| 1205215662 | Boulder Cognitive and Linguistic Center Inc | Speech-Language Pathologist | 1790 30th St, Suite 120, Boulder, CO 80301-1022 | 2015-05-19 |
| 1316355365 | Hilary Booco | Speech-Language Pathologist | 1790 30th St, Suite 120, Boulder, CO 80301-1022 | 2014-07-22 |
| 1992072094 | Ricardo Esparza, Ph.d., Pllc | Clinic/Center | 1790 30th St, Suite 120, Boulder, CO 80301-1022 | 2011-11-17 |
| 1194012583 | Gudrun A Dilger | Counselor | 1790 30th St, Suite 245, Boulder, CO 80301-1022 | 2011-07-06 |
| 1174769665 | Family Home Health LLC | Day Training/Habilitation Specialist | 1790 30th St, Suite 350, Boulder, CO 80301-1022 | 2009-01-05 |
| 1386899169 | Ruth Wharton | Counselor | 1790 30th St, Suite 200, Boulder, CO 80301-1022 | 2008-11-20 |
| 1679735732 | Jacob Hans | Chiropractor | 1790 30th St, Suite 270, Boulder, CO 80301-1022 | 2008-06-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265031454 | Jonathan William Garson | Social Worker | 1790 30th St., Boulder, CO 80301 | 2020-10-20 |
| 1164048161 | Crossroads Medical Center | Family Medicine | 2760 29th St., Suite 28, Boulder, CO 80301 | 2020-06-25 |
| 1316585045 | Karissa Marlene Smith | Registered Nurse | 4770 Pearl Street, Suite A, Boulder, CO 80301 | 2019-12-12 |
| 1184273864 | National Doula Network | Doula | 5918 Gunbarrel Ave Apt E, Boulder, CO 80301 | 2019-09-05 |
| 1861047086 | Samuel Shay | Chiropractor | 1750 30th St, Ste 1, #226, Boulder, CO 80301 | 2019-08-05 |
| 1124504808 | Be Free Live Now LLC | Social Worker | 2945 Center Creen Court, Suite G211, Boulder, CO 80301 | 2018-07-16 |
| 1720596703 | Janis Dochterman | Counselor | 5378 Sterling Drive, Studio #3, Boulder, CO 80301 | 2018-01-12 |
| 1033628631 | Whitney Shea | Physical Therapy Assistant | 3020 Carbon Place, #330, Physical Therapy of Boulder, Boulder, CO 80301 | 2017-09-26 |
| 1538688908 | Kyle N. Daniel Dds PC | Dentist | 2830 Valmont Rd, Boulder, CO 80301 | 2017-09-16 |
| 1497205231 | Jenna Orosco | Counselor | 2945 Center Green Ct. Suite H, Suite H, Boulder, CO 80301 | 2016-10-05 |
| Find all providers in zip 80301 | ||||
| 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.