Individual
JESSI L BROKOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
630 15TH AVE STE 102, LONGMONT, CO 80501-2764
(303) 651-2525
Mailing address
4366 MOUNTAIN LION DR UNIT 104, LOVELAND, CO 80537-9209
(970) 556-5586
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT.0027293
CO
Other
Enumeration date
07/30/2025
Last updated
07/30/2025
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