Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 174N00000X | Lactation Consultant | ||
N | 225700000X | Massage Therapist | 8800 | CO |
NPI | 1285951053 |
---|---|
Provider Name | Jennifer Hoover |
First Address | Fort Collins, CO 80524-4126 |
Second Address | Fort Collins, CO 80524-4126 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/05/2010 |
Last Update Date | 28/02/2017 |