Individual
RUBY HENRIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1746 ASHLAND ST, ASHLAND, OR 97520-2376
(541) 621-6257
Mailing address
1746 ASHLAND ST, ASHLAND, OR 97520-2376
(541) 621-6257
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
10687
OR
Other
Enumeration date
07/30/2008
Last updated
07/30/2008
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