Individual
JENNIFER LEA DIRDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.M.T.
Contact information
Practice address
11450 KING ST, WESTMINSTER, CO 80031-7149
(303) 359-9912
Mailing address
2418 E BRIDGE ST, BRIGHTON, CO 80601-2546
(303) 655-8699
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
4346
CO
Other
Enumeration date
01/19/2011
Last updated
01/19/2011
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