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Individual

JACOB SCOTT FREEDLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CMT

Contact information

Practice address
10841 S CROSSROADS DR STE 9, PARKER, CO 80134-9090
(720) 934-6583
Mailing address
10841 S CROSSROADS DR STE 9, PARKER, CO 80134-9090
(720) 934-6583

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
13221
CO

Other

Enumeration date
03/21/2012
Last updated
03/21/2012
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