NPI 1003009531

Terra J Jolly, LMP

Practitioner Massage Therapist Olympia, WA

Practice location

Address: 312 Columbia St NW, Olympia, WA 98501-1031
Phone: (360) 357-1390
Mailing address: 1320 Mix St NW, Olympia, WA 98502-8404

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence MA00014490 (WA)

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Registry record

NPI: 1003009531
Entity type: Individual
Sex (as registered): Female
NPI issued: 17 Aug 2007
Record last updated: 3 Aug 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.