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1366045791 NPI number — HEATHER ELIZABETH HADLAND LMT

NPI Number: 1366045791
Health Care Provider/Practitioner: HEATHER ELIZABETH HADLAND LMT

Information about “1366045791” NPI (HEATHER ELIZABETH HADLAND LMT) exists in 1366045791 in HTML format HTML  |  1366045791 in plain Text format TXT  |  1366045791 in PDF (Portable Document Format) PDF  |  1366045791 in an XML format XML  formats.

NPI Number : 1366045791 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1366045791",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "HADLAND",
    "FirstName": "HEATHER",
    "MiddleName": "ELIZABETH",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "LMT",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "HADLAND",
    "OtherFirstName": "LIZ",
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "LIZ HADLAND",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "625 OVERLIN DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "GLENWOOD SPRINGS",
    "MailingAddressStateName": "CO",
    "MailingAddressPostalCode": "81601-3232",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "970-948-0425",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1121 GRAND AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "GLENWOOD SPRINGS",
    "PracticeLocationAddressStateName": "CO",
    "PracticeLocationAddressPostalCode": "81601-3801",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "970-945-5658",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "11/18/2020",
    "LastUpdateDate": "11/18/2020",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "225700000X",
        "TaxonomyName": "Massage Therapist",
        "LicenseNumber": "MT.0023679",
        "LicenseNumberStateCode": "CO",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY  GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

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