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NPI Code Detail

MEDICARE: ALBERT JIMENEZ LMT

MEDICARE: ALBERT JIMENEZ LMT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225700000XMassage TherapistMT.0028262CO

General Provider Information

NPI Number : 1295666378
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALBERT JIMENEZ LMT
Provider Business Mailing Address
First Line : 2225 HOODOO DR
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80919-2930
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3320 MESA RD
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80904-1036
Country : US
Telephone Number : 818-731-1792
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/27/2026
Last Update Date : 05/27/2026

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