Most Relevant Information
Provider Data
| NPI Number: | 1003009531 |
| Provider Name: | TERRA J JOLLY L.M.P. |
| Entity Type: | Individual |
| Taxonomy Code: | 225700000X |
| Specialty: | Massage Therapist |
| License Number: | MA00014490 |
Most Important Dates
| Enumeration Date: | 08/17/2007 |
| Last Updated: | 08/03/2011 |
Provider Practice Location
312 COLUMBIA ST NW
OLYMPIA
WA
985011031
Practice Location Phone/Fax
| Phone: | 3603571390 |
| Fax: |
Provider Mailing Location
1320 MIX ST NW
OLYMPIA
WA
985028404
Provider Mailing Phone/Fax
| Phone: | 3608668323 |
| Fax: |