Individual
JESSICA MARIE KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMT
Contact information
Practice address
1930 MAIN ST, SUITE B, LONGMONT, CO 80501-1984
(303) 775-2162
Mailing address
PO BOX 1155, LONGMONT, CO 80502-1155
(303) 775-2162
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
02/25/2007
Last updated
07/08/2007
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