Individual provider · Type 1 NPI

Charlene Jourdan, LIC. MASSAGE THERAPI

Massage Therapist · Boulder, CO

NPI number 1871960138 Active

Practice location

4710 Table Mesa Dr, Suite B
Boulder, CO 80305-4503

Mailing address

PO Box 13
Broomfield, CO 80038-0013

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000XMT.0010424 (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 1871960138

Charlene Jourdan, LIC. MASSAGE THERAPI's National Provider Identifier is 1871960138, issued on Aug 21, 2015. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Boulder, CO. The record was last updated on Aug 21, 2015.