Individual
JULIA MCCOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT#25007
Contact information
Practice address
33 N CENTRAL AVE STE 401, MEDFORD, OR 97501-5923
(541) 941-6687
Mailing address
7171 CROWFOOT RD, TRAIL, OR 97541-9624
(541) 941-6687
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
25007
OR
Other
Enumeration date
02/03/2021
Last updated
09/02/2021
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