IndividualActive
Justin Tallant, LMT
NPI 1619587268 · Massage Therapist · Lakewood, CO
Provider details
- NPI number
- 1619587268
- Entity type
- Individual
- Primary specialty
- Massage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- LMT
- Sex
- Male
- Sole proprietor
- Yes
- License
- MT.0023462 (CO)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1901 Kipling St
Lakewood, CO 80215-2822
Phone: (720) 999-8550
Street-level locationGet directions
Mailing address
750 Tabor St Apt 25
Lakewood, CO 80401-4731
Registry dates
- Enumerated
- 2020-08-07
- Last updated
- 2020-08-07
- Certified
- 2020-08-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.