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Jackieblu Loya, LMT

Massage Therapist in McMinnville, OR. Individual provider (NPI-1).

NPI number1982113684
StatusActive
Last updated in NPPESSep 25, 2017

Details

NPI
1982113684
Entity type
Individual (NPI-1)
Name
Jackieblu Loya
Credential
LMT
Sex
Female
Sole proprietor
Yes
Enumeration date
Sep 25, 2017
Last updated
Sep 25, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225700000X Massage Therapist19526ORYes

Practice location

619 Ne Baker St Ste B
McMinnville, OR 97128-4949

Phone 971-267-5375

Mailing address

527 Nw Cypress St
McMinnville, OR 97128-5464

Phone 971-237-9394

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