Provider Demographics
NPI:1760532667
Name:JACOBACCI, ROCHELLE (CMT)
Entity Type:Individual
Prefix:
First Name:ROCHELLE
Middle Name:
Last Name:JACOBACCI
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 1:2806 W 100TH DR
Mailing Address - Street 2:
Mailing Address - City:FEDERAL HEIGHTS
Mailing Address - State:CO
Mailing Address - Zip Code:80260-6130
Mailing Address - Country:US
Mailing Address - Phone:303-425-7298
Mailing Address - Fax:303-940-8330
Practice Address - Street 1:8725 WADSWORTH BLVD
Practice Address - Street 2:UNIT A
Practice Address - City:WESTMINSTER
Practice Address - State:CO
Practice Address - Zip Code:80003-0928
Practice Address - Country:US
Practice Address - Phone:303-425-7298
Practice Address - Fax:303-940-8330
Is Sole Proprietor?:No
Enumeration Date:2007-01-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist