Individual
JESSICA ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5455 W 38TH AVE UNIT B, WHEAT RIDGE, CO 80212-7068
(720) 277-7018
Mailing address
5455 W 38TH AVE UNIT B, WHEAT RIDGE, CO 80212-7068
(720) 277-7018
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT.0003866
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
NONE
—
Enumeration date
01/01/2018
Last updated
03/17/2018
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