Individual
ANNE ELIZABETH KOUPAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
628 NW YORK DR STE 205, BEND, OR 97703-1572
(503) 319-2089
Mailing address
628 NW YORK DR STE 205, BEND, OR 97703-1572
(503) 319-2089
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
17225
OR
Other
Enumeration date
03/04/2013
Last updated
04/25/2022
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