Individual
HOLLIE JEAN TETREAULT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2040C PUBLIC SQUARE CT, NORTH BEND, OR 97459-1259
(541) 733-5680
Mailing address
1537 N HENRY ST, COQUILLE, OR 97423-1440
(541) 733-5680
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
25983
OR
Other
Enumeration date
05/19/2025
Last updated
05/19/2025
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