Provider Demographics
NPI:1700481983
Name:JONES, DARCIE (MASSAGE THERAPIST)
Entity Type:Individual
Prefix:
First Name:DARCIE
Middle Name:
Last Name:JONES
Suffix:
Gender:F
Credentials:MASSAGE THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:183 S TAYLOR AVE UNIT 162
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:CO
Mailing Address - Zip Code:80027-3150
Mailing Address - Country:US
Mailing Address - Phone:720-328-1790
Mailing Address - Fax:
Practice Address - Street 1:183 S TAYLOR AVE UNIT 162
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:CO
Practice Address - Zip Code:80027-3150
Practice Address - Country:US
Practice Address - Phone:720-328-1790
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-03
Last Update Date:2020-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0013718225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Multi-Specialty