Individual provider · Type 1 NPI
Jessica Kodi Kuykendall
Massage Therapist · Boulder, CO
NPI number
1104541473
Active
Practice location
6175 Habitat Dr Apt 1059
Boulder, CO 80301-3222
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | None listed |
Massage Therapist: An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
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About NPI 1104541473
Jessica Kodi Kuykendall's National Provider Identifier is 1104541473, issued on Oct 7, 2022. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Boulder, CO. The record was last updated on Oct 7, 2022.