Individual
ANNA BURNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
636 SW 2ND ST, CORVALLIS, OR 97333-4442
(541) 257-8739
Mailing address
1915 NW 27TH ST, CORVALLIS, OR 97330-3940
(228) 223-0616
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
22623
OR
Other
Enumeration date
02/22/2023
Last updated
02/22/2023
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