Organization
BLUEBIRD THERAPEUTIC MASSAGE & BODYWORK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACKIEBLU LOYA LMT (OWNER/LICENSED MASSAGE THERAPIST)
(971) 237-9394
Entity
Organization
Contact information
Practice address
619 NE BAKER ST STE B, MCMINNVILLE, OR 97128-4949
(971) 267-5375
Mailing address
527 NW CYPRESS ST, MCMINNVILLE, OR 97128-5464
(971) 237-9394
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
19526
OR
Other
Enumeration date
08/02/2017
Last updated
08/02/2017
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