Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mountain State Medical Massage

Organization Massage Therapist · NPI 1558089904

Mountain State Medical Massage is a Massage Therapist in Centennial, Colorado. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

6970 S Holly Cir
Centennial, CO 80112-6296
Phone: (720) 841-1042
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X

Record details

NPI number1558089904
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jenny Nickerson — Owner · (720) 841-1042
Other names Mountain State Medical Massage; Mountain State Medical Massage; Mountain State Medical Massage
NPI enumeratedAugust 19, 2022
Last updated in NPPESJanuary 18, 2023
Certification dateJanuary 18, 2023
Mailing address4767 S Odessa St, Centennial, CO 80015-3449

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