Individual
ANDREA M ANDRUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
737 NE REVERE AVE, BEND, OR 97701-4024
(541) 241-0384
Mailing address
19158 PUMICE BUTTE RD, BEND, OR 97702-8948
(541) 241-0384
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
10777
OR
Other
Enumeration date
06/02/2011
Last updated
12/18/2015
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