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Individual

MRS. JODY ANN TULLOCH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
384 Q ST, SPRINGFIELD, OR 97477-2140
(541) 514-4819
(541) 919-0302
Mailing address
384 Q ST, SPRINGFIELD, OR 97477-2140
(541) 514-4819
(541) 919-0302

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
26480
OR

Other

Enumeration date
11/22/2016
Last updated
07/25/2022
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