Individual
ISAAC ALLEN BOATRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
912 W 4TH AVE, EUGENE, OR 97402-5499
(541) 653-5338
Mailing address
912 W 4TH AVE, EUGENE, OR 97402-5499
(541) 653-5338
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
24724
OR
Other
Enumeration date
10/24/2018
Last updated
11/14/2018
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