Jesse Zeline Prentiss, LMT

NPI #1336539766 in Ontario, Oregon

Provider Information

NPI Number
1336539766
Entity Type
Individual
Name
Jesse Zeline Prentiss, LMT
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Massage Therapist
Credential
LMT
Enumeration Date
Jan 23, 2015
Last Updated
Jan 23, 2015

Practice Location

Address
630 JACOBSEN GULCH RD
State
Oregon
ZIP Code
97914-8527
Phone
(541) 889-1164

Specialties & Taxonomy Codes

Specialty
Massage Therapist

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