Individual
DYAN WITTMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
1790 W 18TH AVE, EUGENE, OR 97402-3659
(541) 357-0380
Mailing address
1790 W 18TH AVE, EUGENE, OR 97402-3659
(541) 357-0380
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
21709
OR
Other
Enumeration date
03/28/2016
Last updated
03/28/2016
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