Brook Jordan, LMT
Individual provider Active NPI Massage Therapist · Black Hawk, CO
NPI 1083374698 · NPPES record last updated Dec 22, 2021
Key facts
- NPI
- 1083374698
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Massage Therapist 225700000X
- Practice address
- 514 Coyote Cir
Black Hawk, CO 80422-8712 - Phone
- (303) 408-6138
- NPI assigned
- Dec 22, 2021
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | Yes |
Addresses
Primary practice location
514 Coyote Cir
Black Hawk, CO 80422-8712
Mailing address
514 Coyote Cir
Black Hawk, CO 80422-8712
Other providers in Black Hawk, CO
- Hi-Tech Hearing
- Carol Joan Holdcroft
- Kim H Irving
- Jefferson Center for Mental Health
- Jefferson Center for Mental Health
- Jonelle Kirkpatrick
- Jason Alexander Kopen
- Heather Kuder
- Blake Morrow
- Mountain Family Health Centers
All providers in Black Hawk, CO · Massage Therapist in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 22, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.