Healthcare Provider Details

I. General information

NPI: 1952880064
Provider Name (Legal Business Name): JEFFREY JONES LMT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/09/2018
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6860 S YOSEMITE CT STE 2000
CENTENNIAL CO
80112-1448
US

IV. Provider business mailing address

6860 S YOSEMITE CT STE 2000
CENTENNIAL CO
80112-1448
US

V. Phone/Fax

Practice location:
  • Phone: 720-480-4979
  • Fax:
Mailing address:
  • Phone: 720-480-4979
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number16848
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: