Individual
JACKIE PADGETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2401 S DOWNING ST, DENVER, CO 80210-5811
(303) 733-2727
(303) 733-2929
Mailing address
5597 E MANSFIELD AVE, DENVER, CO 80237-1069
(303) 758-4185
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
9330
CO
Other
Enumeration date
09/15/2014
Last updated
09/15/2014
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