Individual
PAYTEN LIGHTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
189 W 6TH AVE, JUNCTION CITY, OR 97448-1603
(541) 321-9706
Mailing address
189 W 6TH AVE, JUNCTION CITY, OR 97448-1603
(541) 321-9706
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
21638
OR
Other
Enumeration date
03/29/2016
Last updated
03/29/2016
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