KESTREL WILDER

EUGENE, OR
NPI1982097978
Former NameTIFFANY A PITTS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225700000X Massage Therapist
(Licence: OR  20894)
Enumeration Date2015-03-15
Last Update Date2019-09-05
Business Address
KESTREL WILDER LMT
1245 CHARNELTON ST #8
EUGENE, OR 97401-6214
Phone number: 541-525-0465
Mailing Address
KESTREL WILDER LMT
1245 CHARNELTON ST STE 7
EUGENE, OR 97401-6206
Phone number: 541-515-0232
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