Individual
JILLYN WALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1495 GARDEN OF THE GODS RD # 10, COLORADO SPRINGS, CO 80907-9441
(719) 260-9797
Mailing address
1495 GARDEN OF THE GODS RD # 10, COLORADO SPRINGS, CO 80907-9441
(719) 260-9797
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT122402
TX
Other
Enumeration date
08/02/2017
Last updated
07/21/2022
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