Individual
BECKETT KAEL ROWAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
655 A ST STE F, SPRINGFIELD, OR 97477-4670
(541) 513-1440
Mailing address
655 A ST STE F, SPRINGFIELD, OR 97477-4670
(541) 513-1440
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
22326
OR
Other
Enumeration date
06/01/2016
Last updated
12/31/2020
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