Provider Demographics
NPI:1487978581
Name:VOSE, JAYNE T (CMT)
Entity type:Individual
Prefix:MRS
First Name:JAYNE
Middle Name:T
Last Name:VOSE
Suffix:
Gender:F
Credentials:CMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14410 KUEHSTER RD
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80127-9773
Mailing Address - Country:US
Mailing Address - Phone:303-378-2933
Mailing Address - Fax:
Practice Address - Street 1:200 UNION BLVD
Practice Address - Street 2:SUITE #221
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80228-1830
Practice Address - Country:US
Practice Address - Phone:303-953-5200
Practice Address - Fax:303-953-5517
Is Sole Proprietor?:No
Enumeration Date:2010-03-17
Last Update Date:2010-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO752225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist