Individual
MYA MICHELLE LOKAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
112 49TH ST., SPRINGFIELD, OR 97478
(541) 726-6521
(541) 726-1615
Mailing address
46164 GOODPASTURE RD., VIDA, OR 97488
(541) 790-9859
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
25456
OR
Other
Enumeration date
04/26/2023
Last updated
04/26/2023
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