Individual
JOCELYN WALDAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
155 W A ST, SPRINGFIELD, OR 97477-4516
(541) 747-4555
Mailing address
7156 F PL, SPRINGFIELD, OR 97478-4221
(541) 391-3890
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
20975
OR
Other
Enumeration date
07/19/2016
Last updated
10/22/2018
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