Individual
JOEY ROBERT CANTRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
500 N COLUMBIA RIVER HWY STE 410, SAINT HELENS, OR 97051-1203
(503) 410-5623
(503) 410-5672
Mailing address
PO BOX 778, RAINIER, OR 97048-0778
(503) 556-4233
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
27302
OR
Other
Enumeration date
09/15/2022
Last updated
09/15/2022
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