Organization
MARY WHEELER, LMT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS MARY HELEN WHEELER LMT (OWNER)
(541) 342-7339
Entity
Organization
Contact information
Practice address
67 N POLK ST, EUGENE, OR 97402-4108
(541) 342-7339
Mailing address
67 N POLK ST, EUGENE, OR 97402-4108
(541) 342-7339
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
4677
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4677
STATE OF OREGON BOARD OF MASSAGE THERAPISTS
OR
Enumeration date
12/19/2016
Last updated
12/19/2016
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