Individual
ANDREA CATHERINE LOCKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
977 ROYAL AVE, MEDFORD, OR 97504-6140
(541) 779-8331
Mailing address
1333 RIDGE WAY, MEDFORD, OR 97504
(541) 301-4506
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
11379
OR
Other
Enumeration date
03/14/2007
Last updated
07/08/2007
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