Individual
KIRSTEN GWEN BUCKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1524 WILLAMETTE ST STE 100, EUGENE, OR 97401-4093
(541) 762-1777
Mailing address
92168 TERRITORIAL HWY, JUNCTION CITY, OR 97448-9539
(541) 780-4420
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
24361
OR
Other
Enumeration date
06/01/2018
Last updated
06/01/2018
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