Profile - MT.0018470

Profile - MT.0018470
General Disclaimer: The information posted on the Healthcare Professions Profile Program (HPPP) website was provided by applicants for an original license; applicants for reinstatement or reactivation of an existing license; as well as by those individuals renewing a license. While the Division believes the information to be reliable, human or mechanical error remains a possibility, as does the delay in the posting or updating of information. The Division makes no guarantee as to the accuracy or completeness of the information and the information is not verified by the HPPP staff. The Division will take action to obtain compliance with the requirements to provide accurate and timely information as required by law when information is received that indicates information required by law has not been provided or is not accurate. Availability Disclaimer: Healthcare professionals who have an inactive or lapsed license are not required to complete a Healthcare Professions Profile until they apply for reactivation or reinstatement. If you have questions about a missing Healthcare Professions Profile or any missing documents that should be listed, please contact the Healthcare Professions Profile Program at dora_dpo_hppp@state.co.us or 303-894-5942. Malpractice Claims Disclaimer: Some studies have shown that there is no significant correlation between malpractice history and a healthcare professional's competence. At the same time, consumers should have access to malpractice information. To make the best healthcare decisions, you should view this information in perspective. You could miss an opportunity for high quality care by selecting a healthcare professional based solely on malpractice history. When considering malpractice data, please keep in mind: Malpractice histories tend to vary by profession and by specialty. Some professions or specialties are more likely than others to be the subject of litigation. You should take into account how long the healthcare professional has been in practice when considering malpractice averages. The incident causing the malpractice claim may have happened years before a payment is finally made. Sometimes, it takes a long time for a malpractice lawsuit to move through the legal system. Some healthcare professionals work primarily with high-risk patients. These healthcare professionals may have malpractice histories that are higher than average because they specialize in cases or patients who are at very high risk for problems. Settlement of a claim may occur for a variety of reasons that do not necessarily reflect negatively on the professional competence or conduct of the healthcare professional. A payment in settlement of a malpractice action or claim should not be construed as creating a presumption that malpractice has occurred. You may wish to discuss information provided, and malpractice generally, with your healthcare professional.
Name	William David Lebzelter
Credential	MT.0018470

General Disclaimer:
The information posted on the Healthcare Professions Profile Program (HPPP) website was provided by applicants for an original license; applicants for reinstatement or reactivation of an existing license; as well as by those individuals renewing a license. While the Division believes the information to be reliable, human or mechanical error remains a possibility, as does the delay in the posting or updating of information. The Division makes no guarantee as to the accuracy or completeness of the information and the information is not verified by the HPPP staff. The Division will take action to obtain compliance with the requirements to provide accurate and timely information as required by law when information is received that indicates information required by law has not been provided or is not accurate.

Availability Disclaimer:
Healthcare professionals who have an inactive or lapsed license are not required to complete a Healthcare Professions Profile until they apply for reactivation or reinstatement. If you have questions about a missing Healthcare Professions Profile or any missing documents that should be listed, please contact the Healthcare Professions Profile Program at dora_dpo_hppp@state.co.us or 303-894-5942.

Malpractice Claims Disclaimer: Some studies have shown that there is no significant correlation between malpractice history and a healthcare professional's competence. At the same time, consumers should have access to malpractice information. To make the best healthcare decisions, you should view this information in perspective. You could miss an opportunity for high quality care by selecting a healthcare professional based solely on malpractice history. When considering malpractice data, please keep in mind: Malpractice histories tend to vary by profession and by specialty. Some professions or specialties are more likely than others to be the subject of litigation. You should take into account how long the healthcare professional has been in practice when considering malpractice averages. The incident causing the malpractice claim may have happened years before a payment is finally made. Sometimes, it takes a long time for a malpractice lawsuit to move through the legal system. Some healthcare professionals work primarily with high-risk patients. These healthcare professionals may have malpractice histories that are higher than average because they specialize in cases or patients who are at very high risk for problems. Settlement of a claim may occur for a variety of reasons that do not necessarily reflect negatively on the professional competence or conduct of the healthcare professional. A payment in settlement of a malpractice action or claim should not be construed as creating a presumption that malpractice has occurred. You may wish to discuss information provided, and malpractice generally, with your healthcare professional.

Name

William David Lebzelter

Credential

MT.0018470

Healthcare Profile - Massage Therapist Introduction

Healthcare Professions Profile | Introduction

Please be aware that this profile is only for your MASSAGE THERAPIST license. Do not provide information for other license types you hold on this profile. You will be required to complete a profile for every license you hold that is included in the profiling requirement.

All information provided in this profile must be updated within 30 days of any change of information unless your profession's statute says otherwise, or unless the question specifies otherwise.

Healthcare Profile - Massage Therapist Location of Practice

Healthcare Professions Profile | Location of Practice

Are you currently practicing in the healthcare profession associated with this profile?

Yes

Healthcare Profile - Location of Practice if Yes

Healthcare Professions Profile | Location of Practice

Practice Locations:

Address	City	State	Zip Code	Phone Number
8408 Devinney Ct.	Arvada	Colorado	80005	(808) 635-5753

Healthcare Profile - Massage Therapist Education and Training

Healthcare Professions Profile | Education and Training

School or Education Level:

Bachelors Degree

Healthcare Profile - Massage Therapist Other Licenses

Healthcare Professions Profile | Other Licenses

Have you ever held, or do you currently hold any other licenses in this profession from any other state, country or province?

Yes

Healthcare Profile - Other Licenses if Yes

Healthcare Professions Profile | Other Licenses

Other Licenses:

State	License Status	Year Originally Issued
Wisconsin	Expired	2003
Maryland	Expired	2002

Healthcare Profile - Massage Therapist Practice Specialties

Healthcare Professions Profile | Practice Specialties

Do you have a practice specialty in which you are appropriately trained and actively practicing?

Yes

Healthcare Profile - Massage Therapist Practice Specialties if Yes

Healthcare Professions Profile | Practice Specialties

Practice Specialties:

Specialty

Myofascial Release

Other

Healthcare Profile - Massage Therapist Business Ownership

Healthcare Professions Profile | Business Ownership

Do you have a current business ownership interest in any healthcare-related business?

Healthcare Profile - Business Ownership if Yes

Healthcare Professions Profile | Business Ownership

Business Ownership:

Business Name

City

State

Healthcare Profile - Massage Therapist Employer

Healthcare Professions Profile | Employer

Do you have an employer in the profession in which you are licensed or are applying for a license?

Healthcare Profile - Employer if Yes

Healthcare Professions Profile | Employer

Employer:

Employer Name	Address	City	State	Zip Code	Phone Number
Evergreen Park & Recreation District	32003 Ellingwood Trail	Evergreen	Colorado	80439	(720) 880-1100

Healthcare Profile - Massage Therapist Employment Contracts

Healthcare Professions Profile | Employment Contracts

Do you have a contract with any business whose mission relates to healthcare services or products where the value is greater than $5000 annually?

Yes

Healthcare Profile - Employment Contracts if Yes

Healthcare Professions Profile | Employment Contracts

Employment Contracts:

Entity Name	Length of Contract	Contract Position
Stemline	1 year	Independent Contractor

Healthcare Profile - Massage Therapist Disciplinary Actions

Healthcare Professions Profile | Disciplinary Actions

Have you ever had public disciplinary action taken against your license by any board or licensing agency in any state or country?

Healthcare Profile - Disciplinary Actions if Yes

Healthcare Professions Profile | Disciplinary Actions

Disciplinary Actions:

Discipline Year

State

Healthcare Profile - Massage Therapist Restrictions and Suspensions

Healthcare Professions Profile | Restrictions and Suspensions

Have you ever entered into any agreement or stipulation to temporarily cease your practice or had a board order issued restricting or suspending your license?

Healthcare Profile - Restrictions and Suspensions if Yes

Healthcare Professions Profile | Restrictions and Suspensions

Restrictions and Suspensions:

Restriction Year

State

Healthcare Profile - Massage Therapist Termination of Employment

Healthcare Professions Profile | Termination of Employment

Have you ever been terminated by an employer for a reason that would be considered a violation of your profession's practice law?

Healthcare Profile - Termination of Employment if Yes

Healthcare Professions Profile | Termination of Employment

Terminations:

Employer Name

Termination Date

Healthcare Profile - Massage Therapist Convictions

Healthcare Professions Profile | Convictions

Since you were issued a license to practice your profession in any state or country, have you had any final criminal conviction(s) or plea arrangement(s) resulting from the commission or alleged commission of a felony or crime of moral turpitude in any jurisdiction?

Healthcare Profile - Convictions if Yes

Healthcare Professions Profile | Convictions

Convictions:

Year

State

Jurisdiction

Healthcare Profile - Massage Therapist Malpractice Claims

Healthcare Professions Profile | Malpractice Claims

Since September 1, 1990, have you had any final judgment, entered into a settlement, or paid an arbitration award for malpractice?

Healthcare Profile - Malpractice Claims if Yes

Healthcare Professions Profile | Malpractice Claims

Malpractice Claims:

Year

State

Claim Type

Arbitrator, Mediator or Court

Healthcare Profile - Massage Therapist Malpractice Carrier Refusal

Healthcare Professions Profile | Malpractice Carrier Refusal

Have you been denied liability insurance, or has your liability insurance coverage been limited, restricted or terminated by the insurance carrier?

Healthcare Profile - Malpractice Carrier Refusal if Yes

Healthcare Professions Profile | Malpractice Carrier Refusal

Malpractice Carrier Refusal:

Carrier Refusal Year

Healthcare Profile - Massage Therapist Optional Narrative

Healthcare Professions Profile | Optional Narrative

Optional Narrative:

Healthcare Profile - Massage Therapist Attestation

Healthcare Professions Profile | Attestation

By submitting this Healthcare Professions Profile to the Division of Professions and Occupations you are attesting that:

I am the person identified in this profile; or
You are authorized to submit information on behalf of the person identified in this profile; and
The information contained herein is true and correct to the best of my knowledge.

Submission Date:

12/29/2022

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