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MR. JORDAN MCQUADE COBURN LMT, CNMT
NPI 1750091187
Massage Therapist in Colorado Springs, CO

Active since November 28, 2022
617 N 17TH ST STE 230, COLORADO SPRINGS, CO 80904(719) 357-9822 Get Directions Write a Review

NPPES record last updated: November 28, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Jordan Mcquade Coburn Lmt, Cnmt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. JORDAN MCQUADE COBURN LMT, CNMT (NPI 1750091187) is an individual massage therapist in Colorado Springs, Colorado, licensed in Colorado (MT.0025055) and active in the NPI registry since November 2022.

NPPES Registry Identity

NPI1750091187
Entity TypeIndividualMale
Primary Taxonomy225700000X
Provider Legal NameMR. JORDAN MCQUADE COBURNCredential: LMT, CNMT
Location Address617 N 17TH ST STE 230Colorado Springs, CO 80904-3577
Mailing Address3788 Red Canon Pl Apt BColorado Springs, CO 80904-2316 · (979) 220-0704
Phone(719) 357-9822
Sole ProprietorNo
Enumeration DateNovember 28, 2022
NPPES CertifiedNovember 27, 2022
✔ NPI 1750091187 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
License✔ Licensed in CO · MT.0025055
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
617 N 17TH ST STE 230, Colorado Springs, CO 80904
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Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

IGNITED SOUL INTEGRATED THERAPIES
Counselor (Mental Health)
617 N 17TH ST STE 230
COLORADO SPRINGS, CO 80904
El Paso County (719) 888-9747
MALLORY ROSE JEFFERSON LPC, MA
Counselor (Professional)
617 N 17TH ST STE 230
COLORADO SPRINGS, CO 80904
El Paso County (719) 315-4587
ZINA ORTIZ
Counselor (Mental Health)
617 N 17TH ST STE 230
COLORADO SPRINGS, CO 80904
El Paso County (719) 223-3261
MS. ELISE A MILLER LPC
Counselor (Professional)
617 N 17TH ST STE 230
COLORADO SPRINGS, CO 80904
El Paso County (719) 357-5121

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jordan Coburn's NPI number?

The NPI number for Jordan Coburn is 1750091187. It was assigned to this individual provider in the NPPES registry on November 28, 2022.

Where is Jordan Coburn located?

Jordan Coburn practices at 617 N 17th St Ste 230, Colorado Springs, CO 80904. The listed phone number is (719) 357-9822.

What is Jordan Coburn's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

When was this NPI record last updated?

The NPPES record for Jordan Coburn was last updated on November 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.