Provider Demographics
NPI:1831532464
Name:STANSBURY, JANET RAE (CMT)
Entity type:Individual
Prefix:
First Name:JANET
Middle Name:RAE
Last Name:STANSBURY
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 1:7800 S ELATI ST
Mailing Address - Street 2:STE. 329
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80120-4483
Mailing Address - Country:US
Mailing Address - Phone:303-955-2988
Mailing Address - Fax:
Practice Address - Street 1:7800 S ELATI ST
Practice Address - Street 2:STE. 329
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80120-4483
Practice Address - Country:US
Practice Address - Phone:303-955-2988
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-13
Last Update Date:2013-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COMT.0012169225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist