MRS. Jaclyn June Monge Southard, LMT
NPI #1497936546 in Lacey, Washington
Provider Information
- NPI Number
- 1497936546
- Entity Type
- Individual
- Name
- MRS. Jaclyn June Monge Southard, LMT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Mechanotherapist
- Credential
- LMT
- Enumeration Date
- Nov 16, 2007
- Last Updated
- Nov 22, 2020
Practice Location
- Address
- 4520 INTELCO LOOP SE BLDG 3
- City
- Lacey
- State
- Washington
- ZIP Code
- 98503-6008
- Phone
- (360) 388-0485
Specialties & Taxonomy Codes
| Specialty |
|---|
| Mechanotherapist |
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