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NPI Code Detail

MEDICARE: JEN ANN MUSSER

MEDICARE:   JEN ANN MUSSER
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.0022838CO

General Provider Information

NPI Number : 1184103582
Entity Type Code : Individual
Provider Name (Legal Business Name) : JEN ANN MUSSER
Provider Business Mailing Address
First Line : 1018 MERCURY DR
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80905-7739
Country : US
Telephone Number : 719-229-3150
Fax Number :
Provider Business Practice Location Address
First Line : 1018 MERCURY DR
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80905-7739
Country : US
Telephone Number : 912-675-8109
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/07/2018
Last Update Date : 02/07/2022

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Directions to “ JEN ANN MUSSER ” Practice Location

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