Provider Demographics
NPI:1376043638
Name:KULIKOWSKI, JAIMIE L (LMT)
Entity Type:Individual
Prefix:
First Name:JAIMIE
Middle Name:L
Last Name:KULIKOWSKI
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1191 S YOSEMITE WAY UNIT 45
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80247-2228
Mailing Address - Country:US
Mailing Address - Phone:303-319-5318
Mailing Address - Fax:
Practice Address - Street 1:1191 S YOSEMITE WAY UNIT 45
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80247-2228
Practice Address - Country:US
Practice Address - Phone:303-319-5318
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-13
Last Update Date:2019-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COMT.0014226225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty