=====================================================
General NPI Number Information
=====================================================
NPI Number | 1427772136
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | KIM SCHEMAHORN LMT, AAT
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/27/2022
-----------------------------------------------------
Last Update Date | 07/10/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 380 EMPIRE RD STE 220
-----------------------------------------------------
City | LAFAYETTE
-----------------------------------------------------
State | CO
-----------------------------------------------------
Zip | 80026-2677
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 720-509-9633
-----------------------------------------------------
Fax | 720-513-5729
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1545 HECLA WAY APT 101
-----------------------------------------------------
City | LOUISVILLE
-----------------------------------------------------
State | CO
-----------------------------------------------------
Zip | 80027-2469
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 719-688-2678
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 225700000X
-----------------------------------------------------
Taxonomy Name | Massage Therapist
-----------------------------------------------------
License Number | MT.0015065
-----------------------------------------------------
License Number State | CO
-----------------------------------------------------