Individual
JESSICA MICHELLE MINNITI-SHIPPEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2868 WILLAMETTE ST, SUITE 100, EUGENE, OR 97405-7209
(541) 684-3988
Mailing address
2082 SHILOH ST, EUGENE, OR 97401-1942
(541) 556-7540
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
15166
OR
Other
Enumeration date
04/13/2010
Last updated
04/13/2010
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