Individual
JENNIFER KAY LYBBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
189 LIBERTY ST NE STE 210, SALEM, OR 97301-3599
(503) 437-5724
Mailing address
189 LIBERTY ST NE STE 210, SALEM, OR 97301-3599
(503) 437-5724
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
15729
OR
Other
Enumeration date
04/03/2018
Last updated
04/24/2023
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