Individual
MARY PAIGE NIDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
175 W B ST STE J, SPRINGFIELD, OR 97477-4594
(541) 636-3905
(541) 505-9023
Mailing address
1010 W 18TH AVE, EUGENE, OR 97402-4035
(505) 553-9968
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
28754
OR
Other
Enumeration date
02/11/2025
Last updated
02/11/2025
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