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

Mr. Jordan McQuade Coburn, LMT, CNMT

Individual provider Massage Therapist · NPI 1750091187

Mr. Jordan McQuade Coburn, LMT, CNMT is a Massage Therapist in Colorado Springs, Colorado. Licensed in Colorado. Registered with an NPI since 2022.

Licensed in
CO
In the registry since
2022
What do these letters mean?
LMT — Licensed Massage Therapist
A state-licensed massage therapist.

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Practice location Address checks out

617 N 17th St Ste 230
Colorado Springs, CO 80904-3577
Phone: (719) 357-9822
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence MT.0025055 (CO)

Record details

NPI number1750091187
Entity typeIndividual (Type 1)
GenderMale
Credentials LMT , CNMT
Sole proprietorNo
NPI enumeratedNovember 28, 2022
Last updated in NPPESNovember 28, 2022
Certification dateNovember 27, 2022

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