Doctor Name: | JACKIE PADGETT |
NPI Number: | 1073914537 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMT |
License Number: | 9330 |
Business Practice Address: | 2401 S Downing St Denver, CO - 802105811 |
Business Phone Number: | 3037332727 |
Business Fax Number: | 3037332929 |
Mailing Address: | 5597 E Mansfield Ave, DENVER |
State: | CO |
Postal Code: | 802371069 |
Phone Number: | 3037584185 |
Fax Number: | |
NPI Enumeration Date: | 09/15/2014 |
NPI Last Update Date: | 09/15/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | 9330 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Massage Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |