SUSAN WOOLLEY MALIN (NPI# 1760695928) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760695928 |
| Entity Type | Individual |
| Full Name | SUSAN WOOLLEY MALIN |
| Credential | LMT |
| Practice Address |
713 3rd Ave Longmont CO 80501-5926 |
| Practice Telephone | 3037726655 |
| Practice Fax Number | 3037721148 |
| Mailing Telephone | 3037726655 |
| Mailing Fax Number | 3037721148 |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
713 3RD AVE |
| City | LONGMONT |
| State | CO |
| Zip Code | 80501-5926 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619109113 | Mountain Spirit Healing Arts Center | Neuromusculoskeletal Medicine, Sports Medicine | 713 3rd Ave, Longmont, CO 80501-5926 | 2009-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598376774 | Boulder County Public Health | Public Health or Welfare | 515 Coffman Street, Suite 200, Longmont, CO 80501 | 2020-08-12 |
| 1164032827 | Kidstuff Child and Family Counseling, P.C. | Marriage & Family Therapist | 360 15th Ave, Ste. 104, Longmont, CO 80501 | 2020-08-06 |
| 1861036501 | Stateserv Medical of Colorado | Durable Medical Equipment & Medical Supplies | 63 South Pratt Pkwy, Landmont, CO 80501 | 2019-11-06 |
| 1558915090 | Array Clinical and Therapeutic Services | Assistant Behavior Analyst | 451 21st Ave. Suite B, Longmont, CO 80501 | 2019-08-01 |
| 1275195042 | Alisa Marie Schwegerl | Speech-Language Pathologist | 1800 Stroh Place, Longmont, CO 80501 | 2019-07-02 |
| 1295298545 | Jovahna Pena | Counselor | Behavioral Health Group, 850 23rd Ave Unit A, Longmont, CO 80501 | 2019-04-12 |
| 1659845568 | University Physicians Incorporated | Advanced Practice Midwife | 2030 Mountain View Ave Ste 400, Longmont, CO 80501 | 2019-01-14 |
| 1013404714 | Crafted Physical Therapy Pllc | Physical Therapist | 701 Delaware Ave Unit E, Longmont, CO 80501 | 2018-04-18 |
| 1588110860 | Randall Bonnom | Counselor | 420 21st Ave #113, Longmont, CO 80501 | 2016-08-28 |
| 1225401771 | Sowash Optometry Group, PC | Eyewear Supplier (Equipment, not the service) | 1242 S. Hover Street, Suite C200, Longmont, CO 80501 | 2015-11-05 |
| Find all providers in zip 80501 | ||||
| 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 |
|---|---|---|---|---|
| 1447850565 | Ashley Marie Dinkel | Massage Therapist | 3218 Lake Park Way Apt 102, Longmont, CO 80503-7805 | 2020-10-28 |
| 1912505272 | Jennifer Condon Knowles | Massage Therapist | 1030 Boston Ave Ste 102, Longmont, CO 80501-6149 | 2020-10-09 |
| 1902403967 | Rachelle Lynn Storti | Massage Therapist | 1451 Cedarwood Dr, Longmont, CO 80504-8762 | 2020-10-02 |
| 1871100651 | Sarah Jean Stafford | Massage Therapist | 2315 Zlaten Dr Apt C105, Longmont, CO 80504-2010 | 2020-09-25 |
| 1861001463 | Patricia Higginbotham | Massage Therapist | 1445 Sherri Mar St, Longmont, CO 80501-2408 | 2020-07-29 |
| 1174149629 | Jennine Amato | Massage Therapist | 307 Coffman St Unit 3, Longmont, CO 80501-5470 | 2020-06-21 |
| 1902422744 | Christina Hildebrandt | Massage Therapist | 1055 17th Ave Ste 102, Longmont, CO 80501-2647 | 2020-06-17 |
| 1568082154 | Joshua Legare | Massage Therapist | 205 S Main St Ste C, Longmont, CO 80501-1714 | 2020-04-23 |
| 1811521818 | Sarah Ren'ee Lane | Massage Therapist | 1304 Vivian St, Longmont, CO 80501-3217 | 2020-02-27 |
| 1245897149 | Lisa Renee Beare | Massage Therapist | 5470 Hygiene Rd, Longmont, CO 80503-9150 | 2019-05-26 |
| Find all providers in LONGMONT | ||||
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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.