Organization
MOUNTAIN STATE MEDICAL MASSAGE
Active
Organization
MOUNTAIN STATE MEDICAL MASSAGE
Active
Other names
Mountain State Medical Massage, Mountain State Medical Massage
Organization subpart
No
Provider details
NPI number
Authorized official
JENNY M NICKERSON LMT (OWNER)
(720) 841-1042
Entity
Organization
Contact information
Practice address
6970 S HOLLY CIR, CENTENNIAL, CO 80112-6296
(720) 841-1042
Mailing address
4767 S ODESSA ST, CENTENNIAL, CO 80015-3449
(720) 841-1042
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
08/19/2022
Last updated
01/18/2023
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