Individual
JENNIFER STOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMT
Contact information
Practice address
3072 EVERGREEN PKWY, 100, EVERGREEN, CO 80439-7979
(303) 674-9800
Mailing address
28157 KNOWLES RD, EVERGREEN, CO 80439-8390
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT.0004906
CO
Other
Enumeration date
09/04/2015
Last updated
09/04/2015
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