Jennifer Condon Knowles

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MT.0010051 Issued in CO

Practice address

1030 Boston Ave Ste 102
Longmont, CO 80501-6149

Phone

(303) 579-6929

NPI assigned

Oct 9, 2020

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": "1602201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602201600000",
    "number": "1912505272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1848 STRATFORD LN",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805031700",
            "telephone_number": "303-579-6929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 BOSTON AVE STE 102",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805016149",
            "telephone_number": "303-579-6929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNOWLES",
        "first_name": "JENNIFER",
        "middle_name": "CONDON",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-09",
        "last_updated": "2020-10-09",
        "certification_date": "2020-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "CO",
            "license": "MT.0010051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gavin Randy Kloulubak, PHARMD
• Sydney Knadler, PT, DPT
• Kurt Winston Knechtel, DMD
• Wyatt J Knechtel, DMD
• Jennifer Born Knight, MS CCC/SLP
• Jennifer Ann Knox
• Suzy Knudsvig
• Ashley M Knutson, LMT
• Aubree Franchesca Kocher, LMFT
• Casey Lee Kochevar, D.D.S.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2020; 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.