Individual
JENNIFER CONDON KNOWLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1030 BOSTON AVE STE 102, LONGMONT, CO 80501-6149
(303) 579-6929
Mailing address
1848 STRATFORD LN, LONGMONT, CO 80503-1700
(303) 579-6929
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT.0010051
CO
Other
Enumeration date
10/09/2020
Last updated
10/09/2020
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