NPI Registry.org

Mountain State Medical Massage

NPI Registration Record

Provider / OrganizationNPIDate Certified
MOUNTAIN STATE MEDICAL MASSAGE15580899042022-10-01

The organization Mountain State Medical Massage is registered with the National Plan and Provider Enumeration System (NPPES) and has the assigned NPI of 1558089904. Registration indicates Mountain State Medical Massage is a provider of services with a specialization in Respiratory, Developmental, Rehabilitative and Restorative Service Providers, Massage Therapist (Massage Therapist, ) (Massage Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers)

Other Names:
Entity TypeOrganization
Provider OrganizationMOUNTAIN STATE MEDICAL MASSAGE
Other Provider OrganizationMOUNTAIN STATE MEDICAL MASSAGE
Practice Office Address6970 S HOLLY CIR
CENTENNIAL, CO US
Practice Office Telephone7208411042
Mailing Address4767 S ODESSA ST
CENTENNIAL, CO 800153449 US
Business Telephone7208411042
Authorized OfficialJENNY M NICKERSON, OWNER
7208411042
HPT Codes
CodePractice
License No
State
225700000X PRIMARY
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Massage Therapist
Massage Therapist

Massage Therapist
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
193400000X SINGGroup Code
OPI Codes
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