Individual
TIA M JIMMERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
33 W 17TH ST, NEW YORK, NY 10011-5511
(877) 438-9335
Mailing address
324 INVERNESS DR S APT 7301, ENGLEWOOD, CO 80112-6193
(808) 800-1177
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0010095
CO
Other
Enumeration date
01/24/2023
Last updated
01/24/2023
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