Organization · Type 2 NPI

Jenny Nickerson

Massage Therapist · Centennial, CO

NPI number 1437857679 Active

Practice location

6970 S Holly Cir
Centennial, CO 80112-6296

Call (720) 841-1042 Map

Mailing address

4767 S Odessa St
Centennial, CO 80015-3449

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.

3 other providers at this address

Medvitae LLCDurable Medical Equipment & Medical Supplies Centennial, CO NPI 1326842055
Mountain State Medical MassageMassage Therapist Centennial, CO NPI 1558089904
Kathryn Laine BuczekSpeech-Language Pathologist Centennial, CO NPI 1760049167

Other massage therapist providers in Centennial

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NPI record

NPI: 1437857679
Entity type: Organization (Type 2)
Issued: Feb 17, 2023
Last updated: Sep 6, 2023
Status: Active
Subpart: Yes of Jenny Nickerson

Other names

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Mountain State Medical Massage · doing business as
Mountain State Medical Massage · doing business as

Authorized official

Jenny Nickerson
Owner
(720) 841-1042

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1437857679

Jenny Nickerson's National Provider Identifier is 1437857679, issued on Feb 17, 2023. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Centennial, CO. The record was last updated on Sep 6, 2023.