Provider Demographics
NPI:1164605945
Name:NOWLING, JENNY (CMMT)
Entity Type:Individual
Prefix:
First Name:JENNY
Middle Name:
Last Name:NOWLING
Suffix:
Gender:F
Credentials:CMMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5944 S KIPLING PKWY STE 301
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80127-2590
Mailing Address - Country:US
Mailing Address - Phone:303-932-2023
Mailing Address - Fax:303-933-0275
Practice Address - Street 1:5944 S KIPLING PKWY STE 301
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80127-2590
Practice Address - Country:US
Practice Address - Phone:303-932-2023
Practice Address - Fax:303-933-0275
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-14
Last Update Date:2007-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist