JORDAN RASHAN BYWATERS (NPI# 1689200917) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689200917 |
| Entity Type | Individual |
| Full Name | JORDAN RASHAN BYWATERS |
| Practice Address |
6160 Tutt Blvd Ste 102 Colorado Springs CO 80923-3503 |
| Practice Telephone | 7192158722 |
| Mailing Telephone | 7192158722 |
| Enumeration Date | 2020-03-18 |
| Last Update Date | 2020-08-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MT.0022011 | CO | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
6160 TUTT BLVD STE 102 |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80923-3503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851758221 | Jennifer Martinez | Massage Therapist | 6160 Tutt Blvd Ste 102, Colorado Springs, CO 80923-3503 | 2016-01-15 |
| 1457963035 | Alicia N Smith | Specialist | 6160 Tutt Blvd Ste 102, Colorado Springs, CO 80923-3503 | 2020-08-17 |
| 1700423043 | Structura Body Therapies, LLC | Physical Medicine & Rehabilitation | 6160 Tutt Blvd Ste 102, Colorado Springs, CO 80923-3503 | 2019-12-05 |
| 1427602804 | Mary Ellen Lusk | Massage Therapist | 6160 Tutt Blvd Ste 102, Colorado Springs, CO 80923-3503 | 2019-07-24 |
| 1326691817 | Savannah Striegel | Massage Therapist | 6160 Tutt Blvd Ste 102, Colorado Springs, CO 80923-3503 | 2019-07-23 |
| 1952883795 | Christina Michelle Horne | Massage Therapist | 6160 Tutt Blvd Ste 102, Colorado Springs, CO 80923-3503 | 2018-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356942171 | Colorado Otolaryngology Associates, LLC | Specialist | 6031 E. Woodmen Rd., Ste. 300, Colorado Springs, CO 80923 | 2020-11-06 |
| 1750993861 | Kara Pitou | Dietitian, Registered | 7064 Renegade Ridge Dr, Colorado Springs, CO 80923 | 2020-08-19 |
| 1366933632 | The Traveling Therapist, LLC | Social Worker | 6319 Sundance Kid Dr, Colorado Springs, CO 80923 | 2018-05-22 |
| 1669972246 | Stacy H Furukawa | Behavior Technician | 5719 Hawk Springs Dr, Colorado Springs, CO 80923 | 2018-02-20 |
| 1528573854 | Wal-mart Sores, Inc. | Durable Medical Equipment & Medical Supplies | 7825 Dublin Blvd, Colorado Springs, CO 80923 | 2017-12-08 |
| 1699148544 | Kristin Sekelsky | Nurse Practitioner | 6160 Tutt Blvd Ste 150, Colorado Springs, CO 80923 | 2015-11-01 |
| 1164826640 | Nancy Bakhtiar | Massage Therapist | 6160 Tutt Blve #102, Colorado Springs, CO 80923 | 2014-10-13 |
| 1558664326 | Helen Sobeck | Nurse Practitioner | 6001 E. Woodmen Road, Nicu St. Frances Medical Center, Colorado Springs, CO 80923 | 2010-12-16 |
| 1679891832 | Tristan Poe Lindberg | Pediatrics | 6001 E Woodmen Road, Colorado Springs, CO 80923 | 2010-05-12 |
| 1194058933 | Tiffany Ann Nelson | Physician Assistant | 6001 E. Woodmen Rd., St. Francis Medical Center - Nicu, Colorado Springs, CO 80923 | 2009-09-11 |
| Find all providers in zip 80923 | ||||
| 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 |
|---|---|---|---|---|
| 1841891074 | Kristen Gutierrez | Massage Therapist | 6270 Lehman Dr Ste 250, Colorado Springs, CO 80918-1450 | 2020-11-04 |
| 1518564558 | Curtis Brazee | Massage Therapist | 3604 Galley Rd Ste 304, Colorado Springs, CO 80909-4302 | 2020-10-02 |
| 1598371858 | Anna J Higgs | Massage Therapist | 415 Squire Ct, Colorado Springs, CO 80911-2355 | 2020-09-21 |
| 1659987253 | Rebecca Lambert-wade | Massage Therapist | 1753 S 8th St Ste C2, Colorado Springs, CO 80905-1974 | 2020-09-18 |
| 1578179354 | Shanti Demayo | Massage Therapist | 5350 Tomah Dr Ste 1300, Colorado Springs, CO 80918-6983 | 2020-09-17 |
| 1679187033 | Alyssa D. Walker | Massage Therapist | 3460 Beechwood Ct, Colorado Springs, CO 80918-6414 | 2020-09-03 |
| 1376160481 | Kiley-marie Villalpando | Massage Therapist | 4320 Loomis Ave Apt C, Colorado Springs, CO 80906-5213 | 2020-07-06 |
| 1609492370 | Shelly Ann Cox | Massage Therapist | 2929 N Prospect St Ste 104, Colorado Springs, CO 80907-6326 | 2020-06-18 |
| 1891310108 | Nicole Kunz | Massage Therapist | 1912 W Uintah St, Colorado Springs, CO 80904-2740 | 2020-06-11 |
| 1790300481 | Lea Marie Abbott | Massage Therapist | 1545 Gatehouse Cir N Apt 204, Colorado Springs, CO 80904-2967 | 2020-06-09 |
| Find all providers in COLORADO SPRINGS | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80923 |
Please comment or provide details below to improve the information on JORDAN RASHAN BYWATERS.
| 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.