Individual
KEENAN ALEKSEI TVEDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
1375 PEARL ST, EUGENE, OR 97401-3523
(541) 683-3377
(541) 434-6747
Mailing address
1375 PEARL ST, EUGENE, OR 97401-3523
(541) 683-3377
(541) 434-6747
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
22453
OR
Other
Enumeration date
08/24/2016
Last updated
08/24/2016
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