Individual
KODY GABRIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1375 PEARL ST, EUGENE, OR 97401-3523
(541) 683-3377
Mailing address
43287 MCKENZIE HWY, LEABURG, OR 97489-9609
(541) 357-1916
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
27373
OR
Other
Enumeration date
12/05/2022
Last updated
12/05/2022
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