Amy Smith Gruebert, LMT

NPI #1851607147 in La Pine, Oregon

Provider Information

NPI Number: 1851607147
Entity Type: Individual
Name: Amy Smith Gruebert, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: LMT
Enumeration Date: Aug 24, 2010
Last Updated: Aug 24, 2010

Practice Location

Address: 51546 HWY 97
Address 2: LAPINE SQUARE 7N
City: La Pine
State: Oregon
ZIP Code: 97739-8957
Phone: (541) 536-3300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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