Individual
JENNIFER JOLLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
6839 OLD JACKSONVILLE HWY, TYLER, TX 75703-0565
(903) 343-3935
Mailing address
3657 MALACHI WAY, LOGANVILLE, GA 30052-4500
(512) 568-8862
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT111813
TX
Other
Enumeration date
03/14/2015
Last updated
03/14/2015
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