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Individual

MARY WETHERELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3189 DARK HOLLOW RD, MEDFORD, OR 97501-4339
(541) 941-5075
Mailing address
3189 DARK HOLLOW RD, MEDFORD, OR 97501-4339
(541) 941-5075

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
29251
OR

Other

Enumeration date
09/12/2025
Last updated
09/12/2025
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