Individual
KALI HULL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
510 E MAIN ST, ROGUE RIVER, OR 97537-9615
(541) 450-9272
Mailing address
PO BOX 255, ROGUE RIVER, OR 97537-0255
(541) 450-9272
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
21582
OR
Other
Enumeration date
12/01/2016
Last updated
12/02/2016
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