Individual
MARY A DEGROOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1200 HIGH ST STE 110, EUGENE, OR 97401-3232
(541) 914-5279
Mailing address
360 71ST ST, SPRINGFIELD, OR 97478-7219
(541) 914-5279
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
23747
OR
Other
Enumeration date
01/03/2019
Last updated
01/03/2019
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