Organization
LAVENDER & LULL THERAPEUTIC MASSAGE LLC
Active
Other names
Current Lymphatic Drainage & Massage
Organization subpart
No
Provider details
NPI number
Authorized official
BREEANNA WALLACE LMT, MLC-C (OWNER/MEMBER)
(907) 978-8989
Entity
Organization
Contact information
Practice address
180 CLEAR CREEK DR STE 104, ASHLAND, OR 97520-1993
(907) 978-8989
Mailing address
254 VAN NESS AVE, ASHLAND, OR 97520-1736
(907) 978-8989
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
04/30/2025
Last updated
05/09/2025
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