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Individual

MR. TROY MADDUX

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
L.M.T.

Contact information

Practice address
534 NW 4TH ST, CORVALLIS, OR 97330-6411
(541) 740-5349
Mailing address
534 NW 4TH ST, CORVALLIS, OR 97330-6411
(541) 740-5349

Taxonomy

Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
14967
OR

Other

Enumeration date
03/27/2009
Last updated
03/27/2009
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