MISS Mackenzie Grace Whitley, LMT, CA

NPI #1376045120 in Talent, Oregon

Provider Information

NPI Number
1376045120
Entity Type
Individual
Name
MISS Mackenzie Grace Whitley, LMT, CA
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Massage Therapist
Credential
LMT, CA
Enumeration Date
Mar 7, 2018
Last Updated
Mar 7, 2018

Practice Location

Address
105 TALENT AVE.
City
Talent
State
Oregon
ZIP Code
97540
Phone
(541) 941-5393

Specialties & Taxonomy Codes

Specialty
Massage Therapist

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