Individual
AMY S MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1755 COBURG RD, BLDG. 4 SUITE 2, EUGENE, OR 97401-4982
(541) 684-3988
Mailing address
2610 NORKENZIE RD, EUGENE, OR 97408-1655
(541) 513-9778
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
14440
OR
Other
Enumeration date
12/28/2007
Last updated
12/28/2007
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