Doctor Name: | JENNIFER LALLIER |
NPI Number: | 1316109580 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NCMT |
License Number: | 43516000 |
Business Practice Address: | 5407 E Courtney Ave Castle Rock, CO - 801049777 |
Business Phone Number: | 3038140278 |
Business Fax Number: | 3038140278 |
Mailing Address: | 5407 E Courtney Ave, CASTLE ROCK |
State: | CO |
Postal Code: | 801049777 |
Phone Number: | 8183917421 |
Fax Number: | 3038140278 |
NPI Enumeration Date: | 06/30/2008 |
NPI Last Update Date: | 06/30/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225700000X |
License Number: | 43516000 |
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. |