Provider Demographics
NPI:1700120060
Name:SCHUMACHER, TAMI LEE (NLMT)
Entity Type:Individual
Prefix:
First Name:TAMI
Middle Name:LEE
Last Name:SCHUMACHER
Suffix:
Gender:F
Credentials:NLMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1260 S UVALDA ST
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80012-4450
Mailing Address - Country:US
Mailing Address - Phone:303-981-4150
Mailing Address - Fax:
Practice Address - Street 1:14221 E EVANS AVE APT 208
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80014-1462
Practice Address - Country:US
Practice Address - Phone:303-981-4150
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-26
Last Update Date:2012-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1349225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO1349OtherSTATE OF COLORADO DIVISION OF REGISTRATIONS FOR MASSAGE THERAPISTS
CO185383OtherAMERICAN MASSAGE THERAPY ASSOCIATION
CO505004-06OtherNCBTMB