Individual
MR. KEVIN GLEN FARROW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
1801 POPLAR DR, APT 60, MEDFORD, OR 97504
(541) 227-1640
Mailing address
1801 POPLAR DR, APT 60, MEDFORD, OR 97504
(541) 227-1640
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
21617
OR
Other
Enumeration date
02/04/2019
Last updated
02/04/2019
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