Individual
MARIJANE MCHENRY BOYD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
347 NE KEARNEY AVE, BEND, OR 97701-4551
(541) 647-7331
Mailing address
141 SW 15TH ST UNIT 42, BEND, OR 97702-1028
(541) 647-7331
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
18060
OR
Other
Enumeration date
09/13/2011
Last updated
09/13/2011
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