Individual
GINA MONTEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1310 COBURG RD STE 5, EUGENE, OR 97401-5200
(541) 345-7532
Mailing address
1310 COBURG RD STE 5, EUGENE, OR 97401-5200
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
24122
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
24122
PROFESSIONAL LICENSE
OR
Enumeration date
12/13/2019
Last updated
12/13/2019
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