Brook Jordan, LMT

NPI #1083374698 in Black Hawk, Colorado

Provider Information

NPI Number: 1083374698
Entity Type: Individual
Name: Brook Jordan, LMT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Massage Therapist
Credential: LMT
Enumeration Date: Dec 22, 2021
Last Updated: Dec 22, 2021

Practice Location

Address: 514 COYOTE CIR
City: Black Hawk
State: Colorado
ZIP Code: 80422-8712
Phone: (303) 408-6138

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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Organizations

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