Individual
JACQUELINE MICHELE ROBINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
628 SW GLACIER AVE, REDMOND, OR 97756-2743
(541) 948-0555
Mailing address
63050 WAUGH RD, BEND, OR 97701
(541) 948-0555
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
14761
OR
Other
Enumeration date
02/04/2008
Last updated
02/04/2008
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