Individual
CASSANDRA MAE VENTRELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1200 EXECUTIVE PKWY STE 230, EUGENE, OR 97401-2365
(541) 636-3278
Mailing address
2772 KALMIA ST, EUGENE, OR 97404-1853
(541) 971-8701
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
LMT24647
OR
Other
Enumeration date
03/13/2024
Last updated
03/13/2024
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