Individual
JENNIFER BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
85339 RIDGEWAY RD, PLEASANT HILL, OR 97455-9654
(541) 968-8023
Mailing address
85339 RIDGEWAY RD, PLEASANT HILL, OR 97455-9654
(541) 968-8023
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
18044
OR
Other
Enumeration date
07/25/2011
Last updated
07/25/2011
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