Individual
DENISE LOUISE MCCOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
529 SW 4TH ST, CORVALLIS, OR 97333-4429
(541) 609-0330
Mailing address
35659 SUMMERS LN, PHILOMATH, OR 97370-9773
(541) 609-0330
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
6438
OR
Other
Enumeration date
03/10/2020
Last updated
03/10/2020
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