MR. Michael Bryan Tripp SR., LMT
NPI #1730366998 in Cottage Grove, Oregon
Provider Information
- NPI Number
- 1730366998
- Entity Type
- Individual
- Name
- MR. Michael Bryan Tripp SR., LMT
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Contractor
- Credential
- LMT
- Enumeration Date
- Jan 29, 2008
- Last Updated
- Jan 29, 2008
Practice Location
- Address
- 411 WASHINGTON AVE
- City
- Cottage Grove
- State
- Oregon
- ZIP Code
- 97424-2060
- Phone
- (541) 554-7027
Specialties & Taxonomy Codes
| Specialty |
|---|
| Contractor |
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