Individual
MORGIN CUPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
45 NW GREELEY AVE, BEND, OR 97703-2943
(503) 318-9487
Mailing address
PO BOX 1340, LA PINE, OR 97739-1340
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
21024
OR
Other
Enumeration date
07/22/2019
Last updated
07/22/2019
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