JULIA F PETTEWAY


Address: 308 W Baseline Rd, Lafayette, CO 80026-1719
Phone: 7202442023

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 225700000X Massage Therapist MT.0004203 CO Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
CO COLORADO STATE MASSAGE LICENSE NUMBER MT.0004203 01

Office Location

Street Address 308 W BASELINE RD
City LAFAYETTE
State CO
Zip Code 80026-1719

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 225700000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Massage Therapist

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Competitor

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City LAFAYETTE
Zip Code 80026

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Dataset Information

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.

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