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Individual

MICAELA WHITTINGTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
1134 SE CENTENNIAL CT, BEND, OR 97702-1366
(408) 710-2658
Mailing address
1604 LUND RD, LA PINE, OR 97739-9107
(541) 536-4902

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
27016
OR

Other

Enumeration date
11/14/2022
Last updated
11/14/2022
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