NPI 1003423872

Laura Jolly, LMT

Practitioner Massage Therapist Santa Fe, NM

Practice location

Address: 1963 Kiva Rd, Santa Fe, NM 87505-3314
Phone: (505) 983-6733

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence MT3474 (NM)

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Registry record

NPI: 1003423872
Entity type: Individual
Sex (as registered): Female
NPI issued: 25 Sep 2020
Record last updated: 25 Sep 2020

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.