MR. YEVGENIY FEDOROV
NPI 1295108108
Massage Therapist in Boulder, CO

Active since November 02, 2015
1800 30TH ST STE 215, BOULDER, CO 80301(303) 444-1171 Get Directions Write a Review

NPPES record last updated: November 2, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Yevgeniy Fedorov NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. YEVGENIY FEDOROV (NPI 1295108108) is an individual massage therapist in Boulder, Colorado, licensed in Colorado (MT.0017306) and active in the NPI registry since November 2015.

NPPES Registry Identity

NPI1295108108
Entity TypeIndividualMale
Primary Taxonomy225700000X
Provider Legal NameMR. YEVGENIY FEDOROV
Location Address1800 30TH ST STE 215Boulder, CO 80301-1026
Mailing Address1800 30th St Ste 215Boulder, CO 80301-1026
Sole ProprietorNo
Enumeration DateNovember 2, 2015
NPI 1295108108 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
License Licensed in CO · MT.0017306
Definition
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.
1800 30TH ST STE 215, Boulder, CO 80301

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
1800 30TH ST STE 215
BOULDER, CO 80301
Massage Therapist
1800 30TH ST STE 215
BOULDER, CO 80301
Massage Therapist
1800 30TH ST STE 215
BOULDER, CO 80301
Massage Therapist
1800 30TH ST STE 215
BOULDER, CO 80301
Physical Therapist
1800 30TH ST STE 215
BOULDER, CO 80301
Physical Therapist
1800 30TH ST STE 215
BOULDER, CO 80301
Massage Therapist
1800 30TH ST STE 215
BOULDER, CO 80301
Physical Therapist
1800 30TH ST STE 215
BOULDER, CO 80301

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Yevgeniy Fedorov's NPI number?

The NPI number for Yevgeniy Fedorov is 1295108108. It was assigned to this individual provider in the NPPES registry on November 2, 2015.

Where is Yevgeniy Fedorov located?

Yevgeniy Fedorov practices at 1800 30th St Ste 215, Boulder, CO 80301. The listed phone number is (303) 444-1171.

What is Yevgeniy Fedorov's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

When was this NPI record last updated?

The NPPES record for Yevgeniy Fedorov was last updated on November 2, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.