Individual
JESSICA BRASSELERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MT.0019686
Contact information
Practice address
631 BIRCH ST UNIT D, WINDSOR, CO 80550-5053
(970) 646-2872
Mailing address
1942 TIDEWATER LN, WINDSOR, CO 80550-3554
(970) 646-2872
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT.0019686
CO
Other
Enumeration date
02/17/2022
Last updated
02/22/2022
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