NPI 1003330945

Jillyn Wall, LMT

Practitioner Massage Therapist Colorado Springs, CO

Practice location

Address: 1495 Garden of the Gods Rd # 10, Colorado Springs, CO 80907-9441
Phone: (719) 260-9797

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence MT122402 (TX)

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Registry record

NPI: 1003330945
Entity type: Individual
Sex (as registered): Female
NPI issued: 2 Aug 2017
Record last updated: 21 Jul 2022

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.