Individual
JODI LYNN WRATHALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
945 S HIGHWAY 395, HERMISTON, OR 97838-2622
(541) 289-2300
Mailing address
940 E. PINE AVE., HERMISTON, OR 97838
(541) 314-5757
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
18261
OR
Other
Enumeration date
01/12/2012
Last updated
01/12/2012
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