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Individual

JUDITH ANN MCCAUL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
1046 26TH CT, SWEET HOME, OR 97386-2903
(541) 350-4116
Mailing address
1046 26TH CT, SWEET HOME, OR 97386-2903
(541) 350-4116

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
19181
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
19181
OBMT
OR
Enumeration date
01/25/2013
Last updated
02/03/2026
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