Individual
JENNIE MARIE RUMMELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
161 HIGH ST SE, #206B, SALEM, OR 97301-3660
(503) 440-3360
Mailing address
1555 SW FAIRVIEW AVE, DALLAS, OR 97338-2331
(503) 440-3360
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
14661
OR
Other
Enumeration date
02/08/2009
Last updated
05/20/2015
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