Mountain State Medical Massage
NPI 1558089904 · Massage Therapist · Centennial, CO
Mountain State Medical Massage is a Massage Therapist organization in Centennial, CO (NPI 1558089904).
Provider details
- NPI number
- 1558089904
- Entity type
- Organization
- Primary specialty
- Massage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Jenny Nickerson, Owner(720) 841-1042
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Mountain State Medical Massage
- Former legal business name
- Mountain State Medical Massage
- Former legal business name
- Mountain State Medical Massage
Registry dates
- Enumerated
- 2022-08-19
- Last updated
- 2023-01-18
- Certified
- 2023-01-18
Frequently asked questions
- What is Mountain State Medical Massage's NPI number?
- Mountain State Medical Massage's National Provider Identifier (NPI) is 1558089904, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mountain State Medical Massage?
- Mountain State Medical Massage is classified in the NPPES registry as Massage Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Mountain State Medical Massage located?
- Mountain State Medical Massage's practice location on file with NPPES is 6970 S Holly Cir, Centennial, CO 80112-6296.
- What is Mountain State Medical Massage's phone number?
- The practice phone number listed in the NPPES registry for Mountain State Medical Massage is (720) 841-1042.
- Who is the authorized official for Mountain State Medical Massage?
- The authorized official listed on Mountain State Medical Massage's NPPES record is Jenny Nickerson, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mountain State Medical Massage's NPI active?
- Yes — Mountain State Medical Massage's NPI (1558089904) is active in the NPPES registry as of the last update on 2023-01-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.