JULIA F PETTEWAY (NPI# 1982016549) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1982016549 |
Entity Type | Individual |
Full Name | JULIA F PETTEWAY |
Credential | LMT |
Practice Address |
308 W Baseline Rd Lafayette CO 80026-1719 |
Practice Telephone | 7202442023 |
Mailing Telephone | 7202442023 |
Enumeration Date | 2014-05-29 |
Last Update Date | 2014-05-29 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225700000X | Massage Therapist | MT.0004203 | CO | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CO | COLORADO STATE MASSAGE LICENSE NUMBER | MT.0004203 | 01 |
Street Address |
308 W BASELINE RD |
City | LAFAYETTE |
State | CO |
Zip Code | 80026-1719 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457454472 | Heather Leanne Fliege | Family Medicine | 308 W Baseline Rd, Lafayette, CO 80026-1719 | 2006-09-06 |
1982112314 | Christine R Chung | Acupuncturist | 308 W Baseline Rd, Lafayette, CO 80026-1719 | 2018-01-19 |
1427367606 | Mary Teresa Doherty | Acupuncturist | 308 W Baseline Rd, Lafayette, CO 80026-1719 | 2010-10-05 |
1093911182 | Heather L. Fliege, M.d., P.C. | Family Medicine | 308 W Baseline Rd, Lafayette, CO 80026-1719 | 2007-06-25 |
1770652729 | Brenda Lee Vonstar | Nurse Practitioner | 308 W Baseline Rd, Lafayette, CO 80026-1719 | 2006-11-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528671690 | Julia Michele Colton | Occupational Therapist | 110 S. Roosevelt Ave, Lafayette, CO 80026 | 2020-08-28 |
1265045900 | Amber M. Roter | Social Worker | 588 N Us-287 Co, Suite 200, Lafayette, CO 80026 | 2020-08-24 |
1669008314 | Dr. Sunda Friedman Tebockhorst Psychologicl Services, Ltd | Clinic/Center | 588 N Hwy 287, Suite 200, Lafayette, CO 80026 | 2020-03-13 |
1659918910 | Emily Nicole Pearson | Behavior Technician | 961 Sandstone Circle, Lafayette, CO 80026 | 2019-12-05 |
1790320612 | Gs Campus Asc, LLC | Clinic/Center | Lafayette Surgery Center, 340 Exempla Circle, Suite #400, Lafayette, CO 80026 | 2019-11-14 |
1639711864 | Martina Christina Holzach | Student in an Organized Health Care Education/Training Program | 1455 Dixon Ave, Suite #300, Lafayette, CO 80026 | 2019-10-09 |
1104474055 | 2nd Star Counseling | Clinic/Center | 260 S. Public Rd, Lafayette, CO 80026 | 2019-09-03 |
1912460015 | Premier Eye Surgery Center of Colorado, LLC | Clinic/Center | 1050 W. South Boulder Road, Lafayette, CO 80026 | 2019-04-08 |
1144704883 | Nikole J Randolph | Nutritionist | 2770 Dagny Way Suite 210, Lafayette, CO 80026 | 2018-09-19 |
1609388842 | Claro Scientific Laboratories Corp | Clinical Medical Laboratory | 1408 Horizon Ave Ste 101, Lafayette, CO 80026 | 2017-10-27 |
Find all providers in zip 80026 |
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 |
---|---|---|---|---|
1952908592 | Donovan Seow | Massage Therapist | 2475 Windrow Ln, Lafayette, CO 80026-3481 | 2020-10-07 |
1548877970 | Laura Jean Murray | Massage Therapist | 1294 Milo Cir Unit B, Lafayette, CO 80026-3256 | 2020-09-29 |
1396352886 | Walter Sanchez | Massage Therapist | 425 Donegal Way, Lafayette, CA 94549-1724 | 2020-09-28 |
1083231096 | Megan Broussard Cahanin | Massage Therapist | 106 Oil Center Dr Ste 103c, Lafayette, LA 70503-2482 | 2020-06-25 |
1225686058 | Anthony Knight | Massage Therapist | 212 Public Sq, Lafayette, TN 37083-1238 | 2019-08-26 |
1063073302 | Robyn Hope Scherr | Massage Therapist | 3186 Old Tunnel Rd Ste C, Lafayette, CA 94549-4133 | 2019-06-26 |
1932764354 | Sarah Bernita Shimek | Massage Therapist | 712 Meadowlark Dr, Lafayette, CO 80026-2120 | 2019-05-02 |
1841854296 | Jennifer Novotny | Massage Therapist | 307 W Geneseo St Apt A, Lafayette, CO 80026-1105 | 2019-04-30 |
1477012466 | Andrew Heflin | Massage Therapist | 2676 Northpark Dr Ste 100, Lafayette, CO 80026-3492 | 2019-03-18 |
1730686940 | Amy Mak | Massage Therapist | 400 E Simpson St Ste 101, Lafayette, CO 80026-2359 | 2018-04-13 |
Find all providers in LAFAYETTE |
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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.