Individual
MS. JILL D EVEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, CNMT
Contact information
Practice address
407 FORTINO BLVD, SUITE D, PUEBLO, CO 81008-2620
(719) 205-1645
Mailing address
704 FORTINO BLVD STE D, PUEBLO, CO 81008-2087
(719) 205-1645
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
0006650
CO
Other
Enumeration date
05/04/2007
Last updated
01/16/2025
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