Individual
LIANNE KIMBERLY YOKUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1110 18TH ST STE 1, SPRINGFIELD, OR 97477-4200
(541) 912-1667
Mailing address
1110 18TH ST STE 1, SPRINGFIELD, OR 97477-4200
(541) 912-1667
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
5539
OR
Other
Enumeration date
03/31/2011
Last updated
01/05/2015
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