Individual
JODY LYN OLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1510 E RICHARDS ST, DOUGLAS, WY 82633-2941
(307) 358-4663
Mailing address
PO BOX 1538, DOUGLAS, WY 82633-1538
(307) 359-3861
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
314
ND
Other
Enumeration date
02/26/2008
Last updated
02/26/2008
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