Individual
ANDREW LIBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
3985 DONALD ST, EUGENE, OR 97405-3946
(541) 359-5836
Mailing address
3985 DONALD ST, EUGENE, OR 97405-3946
(541) 359-5836
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
4790
OR
Other
Enumeration date
06/17/2009
Last updated
06/17/2009
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