NPI 1174929491 REILLY JERNIGAN LAC. LONGMONT CO. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Reilly Jernigan - NPI: 1174929491

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: REILLY JERNIGAN
NPI Number: 1174929491
Entity Type Code: Individual (1)
Gender: F
Credentials: LAC.
License Number: MT.0004081
Business Practice Address: 910 Plateau Rd
Longmont, CO - 805047615
Business Phone Number: 9705967585
Business Fax Number:
Mailing Address: 910 Plateau Rd,
LONGMONT
State: CO
Postal Code: 805047615
Phone Number: 9705967585
Fax Number:
NPI Enumeration Date: 11/13/2014
NPI Last Update Date: 11/13/2014
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 225700000X
License Number: MT.0004081
Healthcare Provider Taxonomy:
(Secondary)
N
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.


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