Individual
JENNIFER BURKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2413 NW LEMHI PASS DR, BEND, OR 97701-6709
(541) 420-4348
Mailing address
2413 NW LEMHI PASS DR, BEND, OR 97701-6709
(541) 420-4348
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
11237
OR
Other
Enumeration date
04/14/2008
Last updated
04/14/2008
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