CARLEE CRAIG (NPI# 1407411341) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1407411341 |
Entity Type | Individual |
Full Name | CARLEE CRAIG |
Credential | LMT |
Practice Address |
111 W Evans Ave Pueblo CO 81004-4215 |
Mailing Address |
2 Prince Valley Ct Pueblo CO 81005-2140 |
Practice Telephone | 7195421000 |
Mailing Telephone | 7192516855 |
Enumeration Date | 2019-05-07 |
Last Update Date | 2019-05-07 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 225700000X | Massage Therapist | MT.0020482 | CO | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CO | O658061 | 05 |
Street Address |
111 W EVANS AVE |
City | PUEBLO |
State | CO |
Zip Code | 81004-4215 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518206531 | Christopher Dean Trujillo | Nurse Practitioner | 111 W Evans Ave, Pueblo, CO 81004 | 2013-02-11 |
1093282899 | Lori Enghaus | Massage Therapist | 111 W Evans Ave, Pueblo, CO 81004-4215 | 2018-10-30 |
1548761430 | Chris Trujillo, Inc | Family Medicine | 111 W Evans Ave, Pueblo, CO 81004-4215 | 2018-02-26 |
1285140400 | Briana Belisle | Nurse Practitioner | 111 W Evans Ave, Pueblo, CO 81004-4215 | 2017-12-26 |
1265988398 | Kelly Marie Hill | Acupuncturist | 111 W Evans Ave, Pueblo, CO 81004-4215 | 2016-08-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780155929 | Renee C Lane | Nurse Practitioner | 1925 E. Orman Ave. Ste. A109, Pueblo, CO 81004 | 2018-12-16 |
1215406913 | Kaiser Foundation Healthplan of Colorado | Pharmacy | 2625 W. Pueblo Blvd, Pueblo, CO 81004 | 2018-11-26 |
1053895532 | Rebecka Ann Reatherford | Nurse Practitioner | St Mary-corwin Medical Center, 1008 Minnequa Ave, Pueblo, CO 81004 | 2018-09-20 |
1124510821 | Angela M Sillas-green | Counselor | 327 Colorado Ave., Pueblo, CO 81004 | 2018-05-30 |
1558898569 | Alexandra R B King | Family Medicine | Southern Colorado Family Medicine, 902 Lakeview Avenue, Pueblo, CO 81004 | 2017-05-22 |
1578098752 | James Williams | Counselor | 414 Broadway Ave, Pueblo, CO 81004 | 2017-04-26 |
1740732601 | Valerie A Senger | Counselor | 635 W Corona Ave Ste 214, Pueblo, CO 81004 | 2016-10-26 |
1194111500 | A New Leaf Therapy, Pllc | Community/Behavioral Health | 327 Colorado Ave, Pueblo, CO 81004 | 2015-04-13 |
1619371671 | Mariah Mcginnis | Registered Nurse | 1232 Van Buren St., Pueblo, CO 81004 | 2014-10-20 |
1730593112 | Maritza Martinez | Registered Nurse | 1026 Wabriendo Ave, Pueblo, CO 81004 | 2014-06-13 |
Find all providers in zip 81004 |
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 |
---|---|---|---|---|
1225645286 | Laura Leeanne Jimison | Massage Therapist | 3933 Elk Ln, Pueblo, CO 81005-3095 | 2020-09-24 |
1881236529 | Jennifer Noel Klipfel | Massage Therapist | 356 S Mcculloch Blvd Ste 106b, Pueblo, CO 81007-2847 | 2019-10-15 |
1255805842 | Bryan S Dewar | Massage Therapist | 21 Macalester Rd, Pueblo, CO 81001-2009 | 2019-01-16 |
1275017873 | Oliver Gahlen Crawford Jr. | Massage Therapist | 2025 N Norwood Ave Ste B, Pueblo, CO 81001-5668 | 2018-09-19 |
1972081693 | Angela Kaye Matthews | Massage Therapist | 3915 Outlook Blvd Ste C1, Pueblo, CO 81008-2604 | 2018-08-03 |
1932686698 | Leah Urrutia | Massage Therapist | 517 W 5th St Ste 109, Pueblo, CO 81003-3186 | 2018-07-25 |
1609362243 | Ee Bean Hiam | Massage Therapist | 63 E Spaulding Ave # W113, Pueblo, CO 81007-5416 | 2018-07-06 |
1598268567 | Patty Raelene Wilson | Massage Therapist | 301 N Main St Ste 301, Pueblo, CO 81003-3259 | 2018-03-15 |
1568976835 | Nicole Laureano | Massage Therapist | 3911 Outlook Blvd Ste B, Pueblo, CO 81008-1624 | 2017-11-25 |
1891208385 | Amgelique Garcia | Massage Therapist | 2033 Pepper Ln, Pueblo, CO 81005-3276 | 2017-11-07 |
Find all providers in PUEBLO |
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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.