Billy Ray Wolf

NPI #1922469659 in Keizer, Oregon

Provider Information

NPI Number: 1922469659
Entity Type: Individual
Name: Billy Ray Wolf
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Enumeration Date: Mar 8, 2016
Last Updated: Mar 8, 2016

Practice Location

Address: 6629 JACOBE ST NE
City: Keizer
State: Oregon
ZIP Code: 97303-1193
Phone: (971) 218-0170

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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