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Mr. Jacob Corley, LMT
Massage Therapist in Boulder, Colorado
NPI 1386258051

Jacob Corley is a Massage Therapist based in Boulder, CO. Jacob Corley practices in Boulder, CO and has the professional credentials of LMT. The NPI Number for Jacob Corley is 1386258051 and holds a License No. MT.0016771 (Colorado).

The current practice location address for Jacob Corley is 1810 30Th St Ste C, Boulder, CO and can be reached out via phone at 413-531-8774.

Location: 1810 30Th St Ste C, Boulder, CO, 80301-1025
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1386258051
Provider Name
Jacob Corley
Credential
LMT
Provider Entity Type
Individual
Gender
Male
Address
1810 30Th St Ste C, Boulder, CO, 80301-1025
Phone Number
413-531-8774
Fax Number
Provider Enumeration Date
09/01/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1810 30Th St Ste C
City
Boulder
State
Colorado
Zip
80301-1025
Phone Number
413-531-8774
Fax Number
person
Provider Business Mailing Address Details
Address
1810 30Th St Ste C
City
Boulder
State
Colorado
Zip
80301-1025
Phone Number
413-531-8774
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
MT.0016771 (Colorado)
Definition
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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