MRS. Jessica Lynn Libolt, L.M.P.

NPI #1245443324 in Lynden, Washington

Provider Information

NPI Number: 1245443324
Entity Type: Individual
Name: MRS. Jessica Lynn Libolt, L.M.P.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Credential: L.M.P.
Enumeration Date: May 7, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 1610 GROVER ST STE B2
City: Lynden
State: Washington
ZIP Code: 98264-1539
Phone: (360) 815-0317

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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