Individual
JENNIFER LOUISE MALLORY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
8753 YATES DR, WESTMINSTER, CO 80031-6947
(720) 434-2801
Mailing address
1133 ASH CT, FORT LUPTON, CO 80621-2313
(720) 434-2801
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
14415
CO
Other
Enumeration date
08/12/2021
Last updated
08/12/2021
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