Provider Demographics
NPI:1235271982
Name:CHAET, JENNIFER ALISON (CMT)
Entity Type:Individual
Prefix:MS
First Name:JENNIFER
Middle Name:ALISON
Last Name:CHAET
Suffix:
Gender:F
Credentials:CMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3338 S AMMONS ST
Mailing Address - Street 2:#11-202
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80227-6312
Mailing Address - Country:US
Mailing Address - Phone:303-989-6376
Mailing Address - Fax:
Practice Address - Street 1:2485 W MAIN ST
Practice Address - Street 2:#205
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80120-4603
Practice Address - Country:US
Practice Address - Phone:303-489-9922
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCERTIFIED MASSAGE TH174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist