Organization
WELL WITHIN HEALING ARTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REILLY JERNIGAN LAC (OWNER)
(970) 596-7585
Entity
Organization
Contact information
Practice address
910 PLATEAU RD, LONGMONT, CO 80504-7615
(970) 596-7585
Mailing address
910 PLATEAU RD, LONGMONT, CO 80504-7615
(970) 596-7585
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
ACU-0001867
CO
225700000X
Massage Therapist
MT-0004081
CO
Other
Enumeration date
05/26/2015
Last updated
05/26/2015
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