NPI 1023314630

Sephora Chantal Jacob, LMT

Practitioner Massage Therapist Highlands Ranch, CO

Practice location

Address: 9299 S Broadway #100, Highlands Ranch, CO 80129-5603
Phone: (303) 683-3377

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 11083 (CO)

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Registry record

NPI: 1023314630
Entity type: Individual
Sex (as registered): Female
NPI issued: 28 Jan 2011
Record last updated: 28 Jan 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.