KASAUNDRA SHALOM (NPI# 1922617208) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922617208 |
| Entity Type | Individual |
| Full Name | KASAUNDRA SHALOM |
| Credential | LMT |
| Practice Address |
740 Burbank St Broomfield CO 80020-1658 |
| Practice Telephone | 7205894902 |
| Mailing Telephone | 7205894902 |
| Enumeration Date | 2020-07-23 |
| Last Update Date | 2020-07-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | MT-0020445 | CO | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
740 BURBANK ST |
| City | BROOMFIELD |
| State | CO |
| Zip Code | 80020-1658 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750373569 | Ani S. Liggett | Psychologist | 740 Burbank St, Broomfield, CO 80020-1658 | 2005-08-17 |
| 1306113170 | Whole Life Counseling Center, LLC | Social Worker | 740 Burbank St, Broomfield, CO 80020-1658 | 2011-11-22 |
| 1629199765 | Tracy Kenline | Social Worker | 740 Burbank St, Broomfield, CO 80020-1658 | 2007-04-03 |
| 1629127352 | Kathleen M Johnson | Counselor | 740 Burbank St, Broomfield, CO 80020-1658 | 2007-01-10 |
| 1912062787 | Judith Libby-lauwereins | Marriage & Family Therapist | 740 Burbank St, Broomfield, CO 80020 | 2006-12-22 |
| 1851308613 | Kristin Johnston Rusk | Psychologist | 740 Burbank St, Broomfield, CO 80020-1658 | 2006-08-02 |
| 1770551756 | Ahmee Hewitt | Social Worker | 740 Burbank St, Broomfield, CO 80020-1658 | 2006-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487210993 | Terri Lynn Rist | Day Training, Developmentally Disabled Services | 12161 Crabapple Street, Broomfield, CO 80020 | 2019-05-10 |
| 1063984409 | This Is Massage | Registered Nurse | 2625 W 133rd Circle Dr., Broomfield Co, CO 80020 | 2018-12-26 |
| 1588187678 | Jenny St. Claire | Counselor | 80 Garden Ctr Ste 140, Broomfield, CO 80020 | 2017-07-20 |
| 1649791880 | Brett T Nelson | Dentist | 340 East 1st Avenue, Suite 202, Broomfield, CO 80020 | 2017-06-28 |
| 1073033411 | Patrice S Lensmire Gauthier | Occupational Therapist | 12970 Sheridan Blvd, Broomfield, CO 80020 | 2017-06-27 |
| 1871047753 | Michelle L Fussnecker | Physician Assistant | 6450 W 120th Ave Unit A, Broomfield, CO 80020 | 2016-08-09 |
| 1588029565 | Courtney Miller | Marriage & Family Therapist | 26 Garden Center Suite 1, Broomfield, CO 80020 | 2015-12-17 |
| 1659742161 | Heather Scott | Physician Assistant | 340 E 1st Ave Ste 100, Broomfield, CO 80020 | 2015-10-09 |
| 1154701407 | Emily Arrington | Speech-Language Pathologist | 1790 W 6th Ave, Broomfield, CO 80020 | 2015-06-02 |
| 1376939884 | Retro Dental Group Broomfield | Dentist | 5105 120th Ave, Broomfield, CO 80020 | 2015-04-10 |
| Find all providers in zip 80020 | ||||
| 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 |
|---|---|---|---|---|
| 1629682745 | Rachel Emma Farmer | Massage Therapist | 8200 Arista Pl Unit 314, Broomfield, CO 80021-4115 | 2020-09-04 |
| 1982213930 | Michael Anthony Redline | Massage Therapist | 227 Cypress Cir, Broomfield, CO 80020-2930 | 2020-07-27 |
| 1669938874 | Janelle K Orsborn | Massage Therapist | 2550 Winding River Dr Unit N3, Broomfield, CO 80023-6549 | 2019-02-12 |
| 1003323866 | Tabitha Clotiaux | Massage Therapist | 2095 W 6th Ave Ste 115, Broomfield, CO 80020-1879 | 2018-01-02 |
| 1083152995 | Kristie Bottsford | Massage Therapist | 200 Summit Blvd Unit 302, Broomfield, CO 80021-8281 | 2017-02-10 |
| 1871946293 | Brook Martinez | Massage Therapist | 290 Nickel St Ste 200, Broomfield, CO 80020-2183 | 2016-07-20 |
| 1487012183 | Patricia Howk | Massage Therapist | 80 Garden Center, Bldg A #324, Broomfield, CO 80020-7087 | 2016-02-09 |
| 1124498555 | Brittaney Caldwell | Massage Therapist | 8433 Church Ranch Blvd Unit 100, Broomfield, CO 80021-5540 | 2015-09-28 |
| 1639556582 | Jodie Lee | Massage Therapist | 3070 N Oak Cir, Broomfield, CO 80020-1055 | 2015-04-29 |
| 1497169452 | Jacqueline Brandmeyer | Massage Therapist | 4924 Prebles Pl, Broomfield, CO 80023-3958 | 2014-06-18 |
| Find all providers in BROOMFIELD | ||||
| City | BROOMFIELD |
| Zip Code | 80020 |
Please comment or provide details below to improve the information on KASAUNDRA SHALOM.
| 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.