JENNY NICKERSON


Address: 6970 S Holly Cir Ste 104, Centennial, CO 80112-1066
Phone: 7208411042

JENNY NICKERSON (NPI# 1043665672) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1043665672
Entity Type Individual
Full Name JENNY NICKERSON
Practice Address 6970 S Holly Cir Ste 104
Centennial
CO 80112-1066
Mailing Address 3127 S Granby Way
Aurora
CO 80014-3836
Practice Telephone 7208411042
Enumeration Date 2016-05-02
Last Update Date 2017-12-20
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 225700000X Massage Therapist MT.0013371 CO Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 6970 S HOLLY CIR STE 104
City CENTENNIAL
State CO
Zip Code 80112-1066

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1528538311 Cherish Mitchell Behavior Technician 12660 E Briarwood Ave, Suite 207, Centennial, CO 80112 2018-12-05
1144706920 Margaret Mary Froehlke Homemaker 6278 E Jamison Dr, Centennial, CO 80112 2018-07-16
1376038240 Elizabeth Ann Dickason Physician Assistant 9094 East Mineral Avenue, #100, Englewood, CO 80112 2018-06-24
1770075467 Dry Creek Surgery Center, LLC Clinic/Center 125 Inverness Dr E Ste 150, Englewood, CO 80112 2018-05-30
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Taxonomy Information

Taxonomy Code 225700000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Massage Therapist

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1992303531 Maddison Rainah White Massage Therapist 3566 E Fair Pl, Centennial, CO 80121-3025 2020-10-15
1306463005 Jessica K Bayes Massage Therapist 7200 E Dry Creek Rd Ste D205, Centennial, CO 80112-2566 2020-06-29
1174161830 Michael Hackenburg Massage Therapist 6743 S High St, Centennial, CO 80122-1331 2019-12-12
1942771969 Kendrick Kennedy Massage Therapist 12742 E Caley Ave, Centennial, CO 80111-6480 2018-12-17
1659896595 William Sean O'malley Massage Therapist 7200 E Dry Creek Rd Ste C103, Centennial, CO 80112-2562 2017-08-11
1770007593 Anne Denton Massage Therapist 8770 E Arapahoe Rd Ste 239, Centennial, CO 80112-1422 2017-08-02
1194247353 Cathrine Mannina Massage Therapist 7700 E Arapahoe Rd Ste 250, Centennial, CO 80112-6108 2017-07-10
1750819405 Theresa Dempsey Chandler Massage Therapist 7200 E Dry Creek Rd Ste C104, Centennial, CO 80112-2562 2017-05-25
1376093542 Stacy Hoffman-farmer Massage Therapist 5742 S Netherland St, Centennial, CO 80015-3344 2016-10-11
1306291992 Valerie Jean Courisky Massage Therapist 6460 S Albion Way, Centennial, CO 80121-3239 2016-05-02
Find all providers in CENTENNIAL

Competitor

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City CENTENNIAL
Zip Code 80112

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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