Individual
CARRIE BLACKWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
642 LINCOLN ST, EUGENE, OR 97401-2541
(541) 729-1731
(541) 342-1985
Mailing address
724 W 26TH AVE, EUGENE, OR 97405-2532
(541) 729-1731
(541) 342-1985
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
7922
OR
Other
Enumeration date
11/14/2014
Last updated
11/14/2014
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