Individual
ANDREA LEE JAEGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT, CMMP
Contact information
Practice address
320 6410 CT, MONTROSE, CO 81403-4483
(970) 640-0207
Mailing address
320 6410 CT, MONTROSE, CO 81403-4483
(970) 640-0207
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
4363
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4363
DORA
CO
Enumeration date
05/25/2010
Last updated
05/25/2010
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