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NPI Code Detail

MEDICARE: MRS. JENNIFER LEA DAVIES LAC, NCMT

MEDICARE:  MRS. JENNIFER LEA DAVIES  LAC, NCMT
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 Therapist0001747CO
2171100000XAcupuncturist0002125CO

General Provider Information

NPI Number : 1316161490
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JENNIFER LEA DAVIES LAC, NCMT
Provider Business Mailing Address
First Line : 6705 S PENROSE CT
Second Line :
City : CENTENNIAL
State : CO
Zip : 80122-1255
Country : US
Telephone Number : 720-629-4211
Fax Number :
Provider Business Practice Location Address
First Line : 6650 S VINE ST STE 250
Second Line :
City : CENTENNIAL
State : CO
Zip : 80121-2740
Country : US
Telephone Number : 720-629-4211
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/12/2007
Last Update Date : 07/22/2025

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Directions to “ MRS. JENNIFER LEA DAVIES LAC, NCMT” Practice Location

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