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

Mr. Jack Vanausdall, CMT

Individual provider Massage Therapist · NPI 1194865139

Mr. Jack Vanausdall, CMT is a Massage Therapist in Loveland, Colorado. Practices as a sole proprietor. Registered with an NPI since 2007.

In the registry since
2007
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Practice location Address checks out

3880 Grant Ave Ste 140
Loveland, CO 80538-8433
Phone: (970) 215-2380
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X

Record details

NPI number1194865139
Entity typeIndividual (Type 1)
GenderMale
Credentials CMT
Sole proprietorYes
NPI enumeratedFebruary 7, 2007
Last updated in NPPESApril 14, 2020
Certification dateApril 14, 2020
Mailing address3880 Grant Ave Ste 140, Loveland, CO 80538-8433

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