Individual
MS. JENNIFER RENEE YOUNGBLOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.M.T.
Contact information
Practice address
2902 W 25TH ST, PUEBLO, CO 81003-1400
(719) 251-6471
(719) 543-7801
Mailing address
2902 W 25TH ST, PUEBLO, CO 81003-1400
(719) 251-6471
(719) 543-7801
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
0013998
CO
Other
Enumeration date
03/13/2013
Last updated
03/13/2013
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