Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JENNIFER ANN MOON
Active Sole ProprietorJENNIFER ANN MOON is a Massage Therapist healthcare provider located in SECURITY, Colorado. NPI 1568046472 is currently active in the NPPES registry. Verify at CMS.
Massage Therapist · SECURITY, CO
Registration Details
- NPI Number
- 1568046472
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 6, 2021 (5.0909201813197 yrs)
- Last Updated
- May 26, 2021
- License
-
MT0019004 (CO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
413 SECURITY BLVDSTE DSECURITY, CO, 80911Browse CO providers · Browse ZIP 80911
- Phone
- 1719321486
- Primary Specialty
-
Massage Therapist
225700000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.