Individual
JACK MAGBANUA WOLFE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
2320 W COLORADO AVE STE 115, COLORADO SPRINGS, CO 80904-3354
(719) 200-7590
Mailing address
3992 RIVIERA GRV APT 101, COLORADO SPRINGS, CO 80922-3379
(719) 200-7590
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT.0028072
CO
Other
Enumeration date
02/02/2026
Last updated
02/02/2026
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