Individual
JEMISON LACY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
8795 RALSTON RD STE 202C, ARVADA, CO 80002-2357
(720) 203-0239
Mailing address
3295 S INDIANA ST, LAKEWOOD, CO 80228-5499
(727) 600-2866
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0023966
CO
Other
Enumeration date
08/16/2021
Last updated
08/16/2021
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