Individual
JACOB EUGENE BELYEU I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
C.M.T
Contact information
Practice address
501 W LAKEWAY RD, D, GILLETTE, WY 82718-6146
(307) 363-3519
Mailing address
501 W LAKEWAY RD, D, GILLETTE, WY 82718-6146
(307) 363-3519
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
CO
Other
Enumeration date
11/21/2011
Last updated
11/21/2011
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