Provider Demographics
NPI:1194120923
Name:JLM THERAPEUTICS LLC
Entity type:Organization
Organization Name:JLM THERAPEUTICS LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOSHUA
Authorized Official - Middle Name:
Authorized Official - Last Name:MCGIRK
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:720-935-9980
Mailing Address - Street 1:3443 S GALENA ST STE 150
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80231-5524
Mailing Address - Country:US
Mailing Address - Phone:720-935-9980
Mailing Address - Fax:
Practice Address - Street 1:3443 S GALENA ST STE 150
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80231-5524
Practice Address - Country:US
Practice Address - Phone:720-935-9980
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-22
Last Update Date:2023-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0005487225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty