Search › Colorado › 225700000X
Jacob Corley, LMT
NPI 1386258051 · on the registry since 2020 · sole proprietor
Practice
- Address
- 1810 30th St Ste C
Boulder, CO 80301 - Phone
- (413) 531-8774
- Organisation at this address
- Phnx Llc
Beyer Laser Center
Beyer Laser Center
Boulder Eye Surgeons
Rise Collective Boulder LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 225700000X
225700000X
- Licence states on file
- CO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-09-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Colorado