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Individual

ASHLEY WHITAKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
2120 CITY VIEW ST, EUGENE, OR 97405-1529
(541) 968-2008
Mailing address
2120 CITY VIEW ST, EUGENE, OR 97405-1529
(541) 968-2008

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
22726
OR

Other

Enumeration date
10/17/2016
Last updated
10/17/2016
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