Individual
JENNIFER DOHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RMT, MBA
Contact information
Practice address
4755 N ACADEMY BLVD, COLORADO SPRINGS, CO 80918-4255
(719) 271-9663
Mailing address
138 CREEKSIDE LN, APT. 104, COLORADO SPRINGS, CO 80906-3267
(719) 271-9663
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT-7646
CO
Other
Enumeration date
01/03/2011
Last updated
01/03/2011
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