Organization
GRANDE RONDE THERAPEUTIC MASSAGE
Active
Other names
Peggy Little LMT
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PEGGY LYNN LITTLE LMT (OWNER LICENSED MASSAG THERAPIST)
(541) 963-4764
Entity
Organization
Contact information
Practice address
1609 ALBANY ST, #10, LA GRANDE, OR 97850
(541) 963-4764
Mailing address
PO BOX 579, ELGIN, OR 97827
(541) 437-0865
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
3427
OR
Other
Enumeration date
05/11/2007
Last updated
07/23/2008
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