Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1194186023 Deactivated / Inactive NPI Male Practitioner

Lance Spencer , LMT

Massage Therapist • Boulder, CO

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Lance Spencer has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 20, 2016
NPI Deactivation Date May 08, 2021
Total Practice Duration ~5 Years of Practice (2016 – 2021)

Professional Overview & Biography Verified Profile Summary

Lance Spencer, LMT was a registered Massage Therapist practicing in Boulder, CO. Throughout an active medical career spanning 5 years, Lance Spencer provided care at the practice location at 4710 TABLE MESA DR until profile deactivation on 2021-05-08.

Practice Location & Contact Primary Location

Practice Address

4710 Table Mesa Dr
Suite B

Boulder, CO 803054503

Telephone 3034999892
Associated Practice Facility / Clinic
🏢 Humanistic Counseling, Llc Facility NPI 1326700907

Specialty Benchmarks & Practice Insights

Comparative analytics for Massage Therapist in Boulder, CO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.5 Yrs
Regional Practice Density
187 Specialists

Practicing in Boulder, CO (3198 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Massage Therapist Primary Specialty

NUCC Taxonomy Code: 225700000X

State License CO 433153

An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

29 Associated Practitioners
Carmen Wilson , MT

Massage Therapist

NPI 1023459070
Laura Allen

Massage Therapist

NPI 1033584834
Nicole Priola , LMT

Massage Therapist

NPI 1073041984

Licensed Massage Therapist

Dara Kinsey

Massage Therapist

NPI 1093132557
Stephen West

Massage Therapist

NPI 1114340395
Nancy Mckay , LMT

Massage Therapist

NPI 1114425626

Licensed Massage Therapist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated May 08, 2021

Record deactivated on May 08, 2021

NPI Profile Active March 20, 2016

NPI status registered as active in NPPES database

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Updated Practice Location March 20, 2016

Registered at 4710 TABLE MESA DR, SUITE B, BOULDER, CO 803054503 (Tel: 3034999892)

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Updated Business Mailing Address March 20, 2016

Registered at 4710 TABLE MESA DR, SUITE B, BOULDER, CO 803054503 (Tel: 3034999892)

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Provider Name / Credentials Updated March 20, 2016

Recorded as LANCE SPENCER, LMT

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 20, 2016

Massage Therapist (License #433153 in CO)

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Initial NPI Registration & Enumeration March 20, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1194186023
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 20, 2016
Last Update: March 20, 2016
Deactivation Date: May 08, 2021

Mailing Address

4710 Table Mesa Dr, Suite B

Boulder, CO 803054503

Phone: 3034999892

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.