Individual
MRS. MARY KAY WEIKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3229 BROADWAY ST SUITE G SERENITY THERAPY CENTER, NORTH BEND, OR 97459
(541) 751-7979
Mailing address
3229 BROADWAY ST SUITE G SERENITY THERAPY CENTER, NORTH BEND, OR 97459
(541) 751-7979
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
16629
OR
Other
Enumeration date
10/14/2010
Last updated
10/14/2010
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