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Individual

MS. JESSICA JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RMT

Contact information

Practice address
1800 30TH ST, STE 215, BOULDER, CO 80301-1088
(303) 444-1171
Mailing address
3014 BLUFF ST, STE 201, BOULDER, CO 80301-2166
(303) 808-4821

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0012401
CO

Other

Enumeration date
04/17/2013
Last updated
04/17/2013
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