Individual
ADRIANNE REARDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
109 W MAIN ST UNIT 5, ROGUE RIVER, OR 97537-9611
(541) 415-6374
Mailing address
109 W MAIN ST UNIT 5, ROGUE RIVER, OR 97537-9611
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
26024
OR
Other
Enumeration date
02/24/2023
Last updated
03/20/2023
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