Individual
ELENA MARIE RUDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1280 PEARL ST, EUGENE, OR 97401-3540
(541) 554-2589
Mailing address
1280 PEARL ST, EUGENE, OR 97401-3540
(541) 554-2589
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
10072
OR
225700000X
Massage Therapist
10072
OR
225700000X
Massage Therapist
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—
Other
Enumeration date
02/05/2007
Last updated
03/22/2022
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