PUEBLO MASSAGE THERAPY LLC
NPI 1992373021
Massage Therapist in Pueblo, CO

Active since June 15, 2021
1401 FORTINO BLVD STE B, PUEBLO, CO 81008(719) 582-9446 Get Directions Write a Review

NPPES record last updated: June 15, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pueblo Massage Therapy Llc NPPES

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

PUEBLO MASSAGE THERAPY LLC (NPI 1992373021) is a healthcare organization registered as a massage therapist in Pueblo, Colorado and active in the NPI registry since June 2021. The organization lists Tracey Walker Nicholls, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1992373021
Entity TypeOrganization
Primary Taxonomy225700000X
Legal Business NamePUEBLO MASSAGE THERAPY LLC
Location Address1401 FORTINO BLVD STE BPueblo, CO 81008-2034
Mailing AddressPo Box 296Beulah, CO 81023-0296 · (719) 582-9446
Organization SubpartNo
Authorized OfficialTracey Walker NichollsManaging Member · (719) 396-5375
Enumeration DateJune 15, 2021
NPPES CertifiedJune 15, 2021
NPI 1992373021 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
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.
1401 FORTINO BLVD STE B, Pueblo, CO 81008

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

Social Worker (Clinical)
1401 FORTINO BLVD STE B
PUEBLO, CO 81008
Psychiatry & Neurology (Psychiatry)
1401 FORTINO BLVD STE B
PUEBLO, CO 81008

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 Pueblo Massage Therapy LLC's NPI number?

The NPI number for Pueblo Massage Therapy LLC is 1992373021. It was assigned to this organization in the NPPES registry on June 15, 2021.

Where is Pueblo Massage Therapy LLC located?

Pueblo Massage Therapy LLC is located at 1401 Fortino Blvd Ste B, Pueblo, CO 81008. The listed phone number is (719) 582-9446.

What is Pueblo Massage Therapy LLC'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 Pueblo Massage Therapy LLC was last updated on June 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.