Provider Demographics
NPI:1952880064
Name:JONES, JEFFREY (LMT)
Entity type:Individual
Prefix:
First Name:JEFFREY
Middle Name:
Last Name:JONES
Suffix:
Gender:M
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7345 S PIERCE ST STE 203C
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80128-4564
Mailing Address - Country:US
Mailing Address - Phone:720-480-4979
Mailing Address - Fax:
Practice Address - Street 1:7345 S PIERCE ST STE 203C
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80128-4564
Practice Address - Country:US
Practice Address - Phone:720-480-4979
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-09
Last Update Date:2023-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO16848225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist