Healthcare Provider Details

I. General information

NPI: 1093656928
Provider Name (Legal Business Name): JACQUELINE ELIZABETH MCPARTLAND
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/03/2026
Last Update Date: 04/03/2026
Certification Date: 04/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11020 S PIKES PEAK DR STE 110
PARKER CO
80138-7413
US

IV. Provider business mailing address

19814 E VASSAR AVE
AURORA CO
80013-9403
US

V. Phone/Fax

Practice location:
  • Phone: 303-841-2524
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberMT.0026153
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: