Jodi Lynn Burch

NPI #1598270530 in Gillette, Wyoming

Provider Information

NPI Number: 1598270530
Entity Type: Individual
Name: Jodi Lynn Burch
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Enumeration Date: Dec 13, 2017
Last Updated: Dec 13, 2017

Practice Location

Address: 201 W LAKEWAY RD STE 200
City: Gillette
State: Wyoming
ZIP Code: 82718-6341
Phone: (307) 682-7885

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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