Organization
GLITTER AND GLOW, LLC
Active
Other names
Glitter and Glow Studio
Organization subpart
No
Provider details
NPI number
Authorized official
ROBIN KOCH (OWNER)
(541) 290-0241
Entity
Organization
Contact information
Practice address
1300 NE ADAMS ST STE A, MCMINNVILLE, OR 97128-3500
(503) 474-4569
Mailing address
1300 NE ADAMS ST STE A, MCMINNVILLE, OR 97128-3500
(503) 474-4569
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
03/13/2023
Last updated
03/13/2023
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