Provider Demographics
NPI:1538329958
Name:WASHINGTON, JANELLE (CMT)
Entity Type:Individual
Prefix:
First Name:JANELLE
Middle Name:
Last Name:WASHINGTON
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 1:2774 S KNOX CT
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80236-2515
Mailing Address - Country:US
Mailing Address - Phone:720-212-7999
Mailing Address - Fax:
Practice Address - Street 1:13801 E YALE AVE
Practice Address - Street 2:SUITE 116
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80014-2337
Practice Address - Country:US
Practice Address - Phone:720-212-7999
Practice Address - Fax:303-755-1109
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-10
Last Update Date:2008-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO65071225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist