JENNIFER L WYANT

PORTLAND, OR
NPI1891042784
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225700000X Massage Therapist
(Licence: OR  18843)
Additional Taxonomies172M00000X Mechanotherapist
(Licence: OR  18843)
Enumeration Date2012-08-09
Last Update Date2018-03-17
Business Address
JENNIFER L WYANT LMT, CMMP
1224 SW MORRISON ST
PORTLAND, OR 97205-2218
Phone number: 503-732-0011
Mailing Address
JENNIFER L WYANT LMT, CMMP
21131 S JUBB RD
ESTACADA, OR 97023-8629
Phone number: 503-732-0011