Individual
DR. JOHANNAH REILLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ND, LAC
Contact information
Practice address
2760 29TH ST, SUITE 2E, BOULDER, CO 80301-1214
(303) 541-9600
(303) 938-9402
Mailing address
2760 29TH ST, SUITE 2E, BOULDER, CO 80301-1214
(303) 541-9600
(303) 938-9402
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
120
CO
175F00000X
Naturopath
30
MT
Other
Enumeration date
01/22/2010
Last updated
01/22/2010
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