Individual
CASSIDY BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
285 LIBERTY ST NE, SALEM, OR 97301-3865
(503) 588-6633
Mailing address
285 LIBERTY ST NE, SALEM, OR 97301-3865
(503) 588-6633
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
21107
OR
Other
Enumeration date
04/06/2015
Last updated
04/06/2015
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