Provider Demographics
NPI:1801008867
Name:EVEN-APLECOVE, JILL D (LMT, CNMT)
Entity Type:Individual
Prefix:MS
First Name:JILL
Middle Name:D
Last Name:EVEN-APLECOVE
Suffix:
Gender:F
Credentials:LMT, CNMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1422 N CEDAR ST
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80903-2602
Mailing Address - Country:US
Mailing Address - Phone:719-205-1645
Mailing Address - Fax:
Practice Address - Street 1:1424 N HANCOCK AVE
Practice Address - Street 2:SUITE 5 WEST
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80903-2620
Practice Address - Country:US
Practice Address - Phone:719-205-1645
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO707072204C00000X, 204D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered204C00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine, Sports Medicine
Not Answered204D00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine & OMM