Healthcare Provider Details

I. General information

NPI: 1003726027
Provider Name (Legal Business Name): AISLINN ANN JORGENSEN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/10/2026
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2121 S ONEIDA ST STE 110
DENVER CO
80224-2550
US

IV. Provider business mailing address

17810 E GIRARD DR UNIT 528
AURORA CO
80013-7626
US

V. Phone/Fax

Practice location:
  • Phone: 720-288-5502
  • Fax:
Mailing address:
  • Phone: 720-288-5502
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberMT.0017384
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: