Healthcare Provider Details

I. General information

NPI: 1568954790
Provider Name (Legal Business Name): ERICA BELFIORE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/04/2018
Last Update Date: 06/26/2025
Certification Date: 06/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 E SOPRIS DR UNIT A
BASALT CO
81621
US

IV. Provider business mailing address

PO BOX 85
BASALT CO
81621-0085
US

V. Phone/Fax

Practice location:
  • Phone: 970-844-0427
  • Fax:
Mailing address:
  • Phone: 970-844-0427
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberMA88611
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number0022408
License Number StateCO

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: