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NPI Code Detail

MEDICARE: JILL REICKS LMT

MEDICARE:   JILL  REICKS  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.0014084CO

General Provider Information

NPI Number : 1396147351
Entity Type Code : Individual
Provider Name (Legal Business Name) : JILL REICKS LMT
Provider Business Mailing Address
First Line : 8725 WADSWORTH BLVD STE A
Second Line :
City : ARVADA
State : CO
Zip : 80003-0922
Country : US
Telephone Number : 303-425-7298
Fax Number : 303-940-8330
Provider Business Practice Location Address
First Line : 8725 WADSWORTH BLVD STE A
Second Line :
City : ARVADA
State : CO
Zip : 80003-0922
Country : US
Telephone Number : 303-425-7298
Fax Number : 303-940-8330
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/22/2014
Last Update Date : 09/22/2014

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Directions to “ JILL REICKS LMT” Practice Location

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