BETTY ANN MASSINO (NPI# 1780942441) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780942441 |
| Entity Type | Individual |
| Full Name | BETTY ANN MASSINO |
| Other Name | BETTY ANN PRESTIPINO |
| Credential | MASSAGE THERAPIST |
| Practice Address |
4112 Outlook Blvd Suite #96 Pueblo CO 81008-1667 |
| Practice Telephone | 7195626200 |
| Practice Fax Number | 7195626225 |
| Mailing Telephone | 7195626200 |
| Mailing Fax Number | 7195626225 |
| Enumeration Date | 2012-05-01 |
| Last Update Date | 2012-05-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 5342 | CO | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | STATE LICENSE | 5342 | 01 |
| Street Address |
4112 OUTLOOK BLVD SUITE #96 |
| City | PUEBLO |
| State | CO |
| Zip Code | 81008-1667 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447233432 | Richard N. Nanes | Emergency Medicine | 4112 Outlook Blvd, Suite 37, Pueblo, CO 81008-1667 | 2005-11-22 |
| 1487262689 | Patricia A Turner | Nurse Practitioner | 4112 Outlook Blvd, Pueblo, CO 81008-1667 | 2020-07-14 |
| 1932648490 | Jordan T. Rhodes | Physical Therapist | 4112 Outlook Blvd, Pueblo, CO 81008-1667 | 2017-02-16 |
| 1952769812 | Samantha Correia | Physical Therapist | 4112 Outlook Blvd, Pueblo, CO 81008-1667 | 2016-02-08 |
| 1003295346 | Karen Bishop | Physical Therapist | 4112 Outlook Blvd, Ste 96, Pueblo, CO 81008-1667 | 2015-05-19 |
| 1871992321 | Ryanne Leah Gromatzky | Physical Therapist | 4112 Outlook Blvd, 96, Pueblo, CO 81008-1667 | 2014-08-21 |
| 1801218284 | Pamela Drummond | Registered Nurse | 4112 Outlook Blvd, Suite 37, Pueblo, CO 81008-1667 | 2014-01-20 |
| 1568896959 | Sarah Elizabeth Whiteman | Physical Therapist | 4112 Outlook Blvd, Suite 96, Pueblo, CO 81008-1667 | 2013-08-21 |
| 1336487297 | Leslie Dallas | Physical Therapist | 4112 Outlook Blvd, Suite 96, Pueblo, CO 81008-1667 | 2013-01-27 |
| 1083988604 | Melissa Luedke | Occupational Therapist | 4112 Outlook Blvd, Suite #96, Pueblo, CO 81008-1667 | 2012-02-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164058913 | Healthone Clinic Services - Oncology Hematology LLC | Internal Medicine | 3678 Parker Blvd, Pueblo, CO 81008 | 2020-03-12 |
| 1073026423 | Carmel Community Living Corporation | Respite Care | 2003 Northmoor Terrace, Suite 100, Pueblo, CO 81008 | 2017-11-08 |
| 1568987121 | Hannah Vivian Roadruck | Pharmacist | 4200 Dillon Dr., Pueblo, CO 81008 | 2017-08-04 |
| 1184170425 | Brett Burana | Dentist | 729 Us-50, Pueblo, CO 81008 | 2016-08-28 |
| 1760832885 | Irby Dental Cottage | Dental Hygienist | 2099 West St # 50, Suite 180, Pueblo, CO 81008 | 2016-06-20 |
| 1649624362 | Curley Peak Dentistry Pllc | Dentist | 1640 W Fortino Blvd, Pueblo, CO 81008 | 2016-04-19 |
| 1336507847 | Kyle Tipton | Nurse Anesthetist, Certified Registered | 4741 Eagleridge Circle, 206, Pueblo, CO 81008 | 2016-01-29 |
| 1407211931 | Center At Park West, LLC | Skilled Nursing Facility | 3727 Parker Blvd., Pueblo, CO 81008 | 2015-12-29 |
| 1417327461 | Nicole Betts | Registered Nurse | 1310 Fortino Blvd Ste D, Pueblo, CO 81008 | 2015-10-02 |
| 1437578028 | Pueblo Modern Dentistry and Orthodontics, LLP | Dentist | 727 Us Hwy 50 West, Pueblo, CO 81008 | 2014-04-10 |
| Find all providers in zip 81008 | ||||
| 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.