Individual
ARIEYL LYN MCCORMACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3075 NW KELLY HILL CT APT 2, BEND, OR 97701-7034
(541) 968-6255
Mailing address
3075 NW KELLY HILL CT APT 2, BEND, OR 97701-7034
(541) 968-6255
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
21174
OR
Other
Enumeration date
02/19/2015
Last updated
02/19/2015
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