Jenny Ettinger, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MT0001966 Issued in CO

Practice address

240 S Broadway Ste 104
Denver, CO 80209-1546

Phone

(505) 239-9644

Fax

(505) 896-2958

NPI assigned

Sep 21, 2022

Last updated

Sep 21, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1663718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663718400000",
    "number": "1295458529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10900 TANZANITE DR NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871141853",
            "telephone_number": "505-239-9644",
            "fax_number": "505-896-2958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 S BROADWAY STE 104",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802091546",
            "telephone_number": "505-239-9644",
            "fax_number": "505-896-2958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ETTINGER",
        "first_name": "JENNY",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-21",
        "last_updated": "2022-09-21",
        "certification_date": "2022-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CO",
            "license": "MT0001966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Etcheverry
• April Michelle Etheridge-Bosworth, PHARM.D.
• Ethos Healthcare LLC
• Jamie Etl, LCSW
• Charles Ettelson, PA-C
• Andrew S Etzler, LSW, LAC
• Alexa Eubank, LCSW
• Jessica Rae Eubanks, CMT
• Anne E Eudy, PHARMD
• Eugene M Rosenthall, DPM PC

• Massage Therapist in Denver, CO
• Providers in Denver, CO by specialty
• Massage Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.