MEDICARE: JENNIFER KUNIO

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
1	225700000X	Massage Therapist	MT.0026826	CO

General Provider Information

NPI Number	:	1316750532
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER KUNIO

Provider Business Mailing Address
First Line	:	1676 NORTHWESTERN RD
Second Line	:
City	:	LONGMONT
State	:	CO
Zip	:	80503-2247
Country	:	US
Telephone Number	:	630-220-1712
Fax Number	:

Provider Business Practice Location Address
First Line	:	777 POPLAR AVE
Second Line	:
City	:	BOULDER
State	:	CO
Zip	:	80304-1067
Country	:	US
Telephone Number	:	630-220-1712
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/30/2025
Last Update Date	:	01/30/2025

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Directions to “ JENNIFER KUNIO ” Practice Location

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