MR. JOE HENRY LEGOLVAN (NPI# 1780160002) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1780160002 |
Entity Type | Individual |
Full Name | MR. JOE HENRY LEGOLVAN |
Credential | CMT |
Practice Address |
5912 S Cody St Ste 111 Littleton CO 80123-9541 |
Mailing Address |
9691 W Coco Cir Unit 203 Littleton CO 80128-9272 |
Practice Telephone | 7202201687 |
Enumeration Date | 2018-07-19 |
Last Update Date | 2018-07-19 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225700000X | Massage Therapist | MT.0008220 | CO | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CERTIFICATE OF GOOD STANDING | 20161265269 | 01 |
Street Address |
5912 S CODY ST STE 111 |
City | LITTLETON |
State | CO |
Zip Code | 80123-9541 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053823708 | Audrey Marie Dertien | Physical Therapist | 8160 W Coal Mine Ave, Littleton, CO 80123 | 2017-11-02 |
1215472832 | Littleton Counseling Associates Inc | Social Worker | 5931 S. Middlefield Rd., Suite 102, Littleton, CO 80123 | 2017-01-05 |
1376099986 | Catalyst Family Health LLC | Acupuncturist | 8501 W. Union Ave., #6, Littleton, CO 80123 | 2016-09-01 |
1760938476 | Evan Ingerson | Physical Therapist | 8500 W Crestline Avenue, Suite G-5, Littleton, CO 80123 | 2016-09-01 |
1114307899 | Denver Anesthesia Dentistry | Dentist | 5420 Lakeshore Dr, Littleton, CO 80123 | 2015-06-08 |
1053718064 | Mary Grace Helfer | Specialist/Technologist | 9585 West Powers Circle, Littleton, CO 80123 | 2014-11-20 |
1497097133 | Aaron R Beck | Chiropractor | 7735 West Long Dr., Suite 11, Littleton, CO 80123 | 2013-03-20 |
1609154145 | Ultimate Health Medical Center Inc | Chiropractor | 7735 W. Long Dr., Suite 11, Littleton, CO 80123 | 2011-08-02 |
1487894036 | Stephanie Erin Patterson | Licensed Practical Nurse | 5297 S Wadsworth Blvd, Southwest Medical Offices, Littleton, CO 80123 | 2009-02-23 |
1518122274 | Orthopedic Rehab, Inc. | Prosthetic/Orthotic Supplier | 5066 S. Wadsworth Way, Ste 128, Littleton, CO 80123 | 2008-07-22 |
Find all providers in zip 80123 |
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 |
---|---|---|---|---|
1225644305 | Stacey Colson | Massage Therapist | 7261 S Broadway Ste 104, Littleton, CO 80122-8003 | 2020-09-23 |
1881202455 | Tj Pierce | Massage Therapist | 7561 S Grant St Ste A3, Littleton, CO 80122-2626 | 2020-07-20 |
1629541032 | Jennifer Johanna Leete | Massage Therapist | 9948 Fairwood St, Littleton, CO 80125-8806 | 2019-01-08 |
1952880064 | Jeffrey Jones | Massage Therapist | 8906 W Bowles Ave Ste 110b, Littleton, CO 80123-3455 | 2018-08-09 |
1033620265 | Katelyn Morrell | Massage Therapist | 5912 S Cody St Ste 215, Littleton, CO 80123-9544 | 2017-10-15 |
1558882498 | Lisa M De La Torre Baca Lmt | Massage Therapist | 8316 S Saulsbury St, Littleton, CO 80128-6307 | 2017-06-30 |
1194278432 | Corina West | Massage Therapist | 5959 W Elmhurst Dr, Littleton, CO 80128-6081 | 2016-08-03 |
1679930309 | Nichole Villano | Massage Therapist | 466 Pluto Ct, Littleton, CO 80124-2717 | 2016-01-26 |
1285017152 | Amber Wright | Massage Therapist | 9671 W Chatfield Ave Unit E, Littleton, CO 80128-9503 | 2015-07-09 |
1538563218 | Karen Campton | Massage Therapist | 5350 S Jay Cir Unit 7e, Littleton, CO 80123-0673 | 2014-10-09 |
Find all providers in LITTLETON |
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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.