Individual
BRYAN JOLLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MT
Contact information
Practice address
2500 BROADWAY UNIT E, GRAND JUNCTION, CO 81507-2767
(970) 644-5255
Mailing address
2500 BROADWAY UNIT E, GRAND JUNCTION, CO 81507-2767
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0003086
CO
Other
Enumeration date
10/10/2020
Last updated
10/10/2020
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