Individual
KELLYN ROST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
35 W 8TH AVE, EUGENE, OR 97401-2901
(541) 686-4461
Mailing address
527 W 10TH AVE APT 1, EUGENE, OR 97401-2816
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
27560
OR
Other
Enumeration date
02/06/2023
Last updated
02/06/2023
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