Provider Demographics
NPI:1407102635
Name:JENNINGS, DAYNA M (CMT)
Entity Type:Individual
Prefix:
First Name:DAYNA
Middle Name:M
Last Name:JENNINGS
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 1:548 MIDLAND ST
Mailing Address - Street 2:
Mailing Address - City:BRIGHTON
Mailing Address - State:CO
Mailing Address - Zip Code:80601-1543
Mailing Address - Country:US
Mailing Address - Phone:303-829-6592
Mailing Address - Fax:720-247-9040
Practice Address - Street 1:548 MIDLAND ST
Practice Address - Street 2:
Practice Address - City:BRIGHTON
Practice Address - State:CO
Practice Address - Zip Code:80601-1543
Practice Address - Country:US
Practice Address - Phone:303-829-6592
Practice Address - Fax:720-247-9040
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-25
Last Update Date:2012-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO3442173C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes173C00000XOther Service ProvidersReflexologist