Individual
JAIMIE WEAKLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MT
Contact information
Practice address
108 W 5TH ST, PUEBLO, CO 81003-3118
(719) 251-8824
Mailing address
108 W 5TH ST, PUEBLO, CO 81003-3118
(719) 251-8824
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT.0018058
CO
Other
Enumeration date
06/08/2022
Last updated
06/08/2022
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