Individual
ROGER JEWETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CMT
Contact information
Practice address
3938 JFK PKWY UNIT 11F, FORT COLLINS, CO 80525-3087
(970) 204-0516
(970) 204-6812
Mailing address
3938 JFK PKWY UNIT 11F, FORT COLLINS, CO 80525-3087
(970) 204-0516
(970) 204-6812
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
3129
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9702040516
MEDICAL MASSAGE OF THE ROCKIES
CO
Enumeration date
06/22/2009
Last updated
07/07/2009
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