Individual provider · Type 1 NPI
Jillyn Wall, LMT
Massage Therapist · Colorado Springs, CO
NPI number
1003330945
Active
Practice location
1495 Garden Of The Gods Rd # 10
Colorado Springs, CO 80907-9441
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Massage Therapist Primary | 225700000X | MT122402 (TX) |
Massage Therapist: An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
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About NPI 1003330945
Jillyn Wall, LMT's National Provider Identifier is 1003330945, issued on Aug 2, 2017. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Colorado Springs, CO. The record was last updated on Jul 21, 2022.