Individual
JENNIFER NOVOTNY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
307 W GENESEO ST APT A, LAFAYETTE, CO 80026-1105
(720) 291-9875
Mailing address
307 W GENESEO ST APT A, LAFAYETTE, CO 80026-1105
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT.0003785
CO
Other
Enumeration date
04/30/2019
Last updated
04/30/2019
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