Individual
JESSICA WILSON GOODNIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
6559 W 66TH AVE, ARVADA, CO 80003-4524
(303) 668-7773
Mailing address
6559 W 66TH AVE, ARVADA, CO 80003-4524
(303) 668-7773
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT.0019167
CO
Other
Enumeration date
12/06/2017
Last updated
03/17/2018
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