Individual
OLIVIA GRETCHEN DYSON SMOODY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
48241 E 1ST ST, OAKRIDGE, OR 97463-9701
(541) 228-5109
Mailing address
47753 W 2ND ST, OAKRIDGE, OR 97463-9731
(541) 228-5109
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
24697
OR
Other
Enumeration date
05/01/2019
Last updated
05/01/2019
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