IndividualActive
Jennifer Moon
NPI 1568046472 · Massage Therapist · Security, CO
Provider details
- NPI number
- 1568046472
- Entity type
- Individual
- Primary specialty
- Massage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- MT0019004 (CO)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
413 Security Blvd
Ste D
Security, CO 80911
Phone: (171) 932-1486
Approximate (ZIP-level) locationGet directions
Mailing address
413 Security Blvd
Security, CO 80911
Registry dates
- Enumerated
- 2021-05-06
- Last updated
- 2021-05-26
- Certified
- 2021-05-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.