Gwendolyn Kent
Massage Therapist in Eugene, OR. Individual provider (NPI-1).
NPI number1467001065
StatusActive
Last updated in NPPESSep 5, 2019
Details
- NPI
- 1467001065
- Entity type
- Individual (NPI-1)
- Name
- Gwendolyn Kent
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 5, 2019
- Last updated
- Sep 5, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | 25279 | OR | Yes |
Practice location
1601 Willamette St Ste 2Eugene, OR 97401-4013
Phone 541-513-5264
Mailing address
490 Horn LnEugene, OR 97404-2918
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