Individual provider · Type 1 NPI

Gregory William Jolly, L.M.T.

Massage Therapist · Wauwatosa, WI

NPI number 1821339847 Active

Practice location

8320 W Bluemound Rd
Wauwatosa, WI 53213-3367

Call (414) 302-3800 Map

Mailing address

5653 N Stanton Dr
Glendale, WI 53209-4357

Specialties and licenses

TaxonomyCodeLicense
Massage Therapist Primary 225700000X821-146 (WI)

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 1821339847

Gregory William Jolly, L.M.T.'s National Provider Identifier is 1821339847, issued on Mar 15, 2013. The primary taxonomy on file is Massage Therapist (225700000X), and the practice location is in Wauwatosa, WI. The record was last updated on Mar 15, 2013.