Individual provider · Type 1 NPI

Jennifer Leigh Wick, MT

Massage Therapist · Boulder, CO

NPI number 1194074351 Active

Practice location

3400 Table Mesa Dr Ste 203
Boulder, CO 80305-5850

Call (303) 499-9892 Map

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X0013860 (CO)

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 1194074351

Jennifer Leigh Wick, MT's National Provider Identifier is 1194074351, issued on Sep 4, 2012. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Boulder, CO. The record was last updated on Sep 4, 2012.