Individual
CHELSEA BADOLIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
993 NORTH LANE STREET, COTTAGE GROVE, OR 97424-1178
(760) 580-1760
Mailing address
993 N LANE ST, COTTAGE GROVE, OR 97424-1178
(760) 580-1760
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
24187
OR
Other
Enumeration date
11/29/2018
Last updated
11/29/2018
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