Doctor Name: | MR. JASON EUGENE MCKINLEY |
NPI Number: | 1194168526 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | CMT |
License Number: | 7586 |
Business Practice Address: | 295 E 29th St Suite 10 Loveland, CO - 805382743 |
Business Phone Number: | 9706636142 |
Business Fax Number: | 9706353087 |
Mailing Address: | 295 E 29th St, Suite 10 LOVELAND |
State: | CO |
Postal Code: | 805382743 |
Phone Number: | 9706636142 |
Fax Number: | 9706353087 |
NPI Enumeration Date: | 04/16/2013 |
NPI Last Update Date: | 04/16/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | 7586 |
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. |