Provider Demographics
NPI:1992924187
Name:WELLS, JANICE (CMT)
Entity type:Individual
Prefix:
First Name:JANICE
Middle Name:
Last Name:WELLS
Suffix:
Gender:F
Credentials:CMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9462 W ONTARIO DR
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80128-4052
Mailing Address - Country:US
Mailing Address - Phone:303-525-4406
Mailing Address - Fax:
Practice Address - Street 1:3939 E ARAPAHOE RD STE 115
Practice Address - Street 2:
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80122-2075
Practice Address - Country:US
Practice Address - Phone:303-525-4406
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCMT051948225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist