Individual
JERRICHA DAWN DRAPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
409 NE GREENWOOD AVE STE 120, BEND, OR 97701-4616
(541) 728-0954
(541) 728-0956
Mailing address
409 NE GREENWOOD AVE STE 120, BEND, OR 97701-4616
(541) 728-0954
(541) 728-0956
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
023110
OR
Other
Enumeration date
05/12/2020
Last updated
05/12/2020
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