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Jackie Bernhardt, LMT

Massage Therapist in Fort Collins, CO. Individual provider (NPI-1).

NPI number1760907331
StatusActive
Last updated in NPPESSep 23, 2026

Details

NPI
1760907331
Entity type
Individual (NPI-1)
Name
Jackie Bernhardt
Credential
LMT
Sex
Female
Sole proprietor
Yes
Enumeration date
Aug 4, 2017
Certification date
Sep 23, 2026
Last updated
Sep 23, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225700000X Massage Therapist0016446COYes

Practice location

1337 E Prospect Rd
Fort Collins, CO 80525-1115

Phone 970-691-8467

Mailing address

1337 E Prospect Rd
Fort Collins, CO 80525-1115

Phone 970-691-8467

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