Individual
JENNINE AMATO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
307 COFFMAN ST UNIT 3, LONGMONT, CO 80501-5470
(303) 502-7695
Mailing address
307 COFFMAN ST UNIT 3, LONGMONT, CO 80501-5470
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
659
CO
Other
Enumeration date
06/21/2020
Last updated
06/21/2020
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