Individual
BETH ANNE LYONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
18992 OBSIDIAN RD, BEND, OR 97702-7944
(808) 214-7717
Mailing address
18992 OBSIDIAN RD, BEND, OR 97702-7944
(808) 214-7717
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
13029
HI
225700000X
Massage Therapist
Primary
21763
OR
Other
Enumeration date
06/04/2014
Last updated
07/21/2022
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