Individual
LAURA KATHLEEN EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1524 WILLAMETTE ST STE 100, EUGENE, OR 97401-4093
(541) 762-1177
Mailing address
275 RUSTIC PL, EUGENE, OR 97401-5574
(541) 337-1662
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
023396
OR
Other
Enumeration date
06/29/2017
Last updated
06/29/2017
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