Jessica A Cito, LMT

Individual provider Active NPI Massage Therapist · Johnstown, CO

NPI 1962701128 · NPPES record last updated Mar 26, 2011

Key facts

NPI
1962701128
Entity type
Individual (NPI type 1)
Primary specialty
Massage Therapist 225700000X
License
10624 (CO)
Practice address
32 Rutherford Ave
Johnstown, CO 80534-9071
Phone
(970) 518-9401
NPI assigned
Mar 26, 2011
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

State licenses

LicenseStateTypeSpecialty
10624COMDMassage Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 10624 CO Yes

Addresses

Primary practice location

32 Rutherford Ave
Johnstown, CO 80534-9071

Mailing address

32 Rutherford Ave
Johnstown, CO 80534-9071
Phone (970) 518-9401

Other providers in Johnstown, CO

All providers in Johnstown, CO · Massage Therapist in Colorado

Sources for this page

Verify at the official NPI Registry.