Individual
REGINA JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3571 S TOWER RD UNIT A, AURORA, CO 80013-5704
(303) 400-4545
(303) 400-8787
Mailing address
3571 S TOWER RD UNIT A, AURORA, CO 80013-5704
(303) 400-4545
(303) 400-8787
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7733
CO
Other
Enumeration date
01/13/2010
Last updated
01/13/2010
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