Individual
MRS. MADISON ANN BREWER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
20354 EMPIRE AVE STE D3, BEND, OR 97703-5710
(541) 588-4232
Mailing address
63107 FRESCA ST, BEND, OR 97703-1580
(541) 588-4232
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
LMT-023361
OR
Other
Enumeration date
03/18/2024
Last updated
03/18/2024
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