Individual
EMMA KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
3170 ONYX ST, EUGENE, OR 97405-4253
(541) 228-2888
Mailing address
3170 ONYX ST, EUGENE, OR 97405-4253
(541) 228-2888
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
15723
OR
Other
Enumeration date
01/04/2013
Last updated
01/04/2013
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