NPI 1376712190

Jody Lyn Olson, LMT

Practitioner Massage Therapist Douglas, WY

Practice location

Address: 1510 E Richards St, Douglas, WY 82633-2941
Phone: (307) 358-4663
Mailing address: PO Box 1538, Douglas, WY 82633-1538

Registered specialties

Massage Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X Licence 314 (ND)

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Registry record

NPI: 1376712190
Entity type: Individual
Sex (as registered): Female
NPI issued: 26 Feb 2008
Record last updated: 26 Feb 2008

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.