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Billie Jean Pettibone
Massage Therapist in Roseburg, Oregon
NPI 1558125245

Billie Jean Pettibone is a Massage Therapist based in Canyonville, OR. Billie Jean Pettibone practices in Roseburg, OR. The NPI Number for Billie Jean Pettibone is 1558125245 and holds a License No. 6302 (Oregon).

The current practice location address for Billie Jean Pettibone is 725 Se Cass Ave, Roseburg, OR and can be reached out via phone at 541-643-4733.

Location: 725 Se Cass Ave, Roseburg, OR, 97417-1266
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1558125245
Provider Name
Billie Jean Pettibone
Credential
Provider Entity Type
Individual
Gender
Female
Address
725 Se Cass Ave, Roseburg, OR, 97417-1266
Phone Number
541-643-4733
Fax Number
Provider Enumeration Date
02/12/2024
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
725 Se Cass Ave
City
Roseburg
State
Oregon
Zip
97470-4908
Phone Number
541-643-4733
Fax Number
person
Provider Business Mailing Address Details
Address
725 Se Cass Ave
City
Roseburg
State
Oregon
Zip
97470-4908
Phone Number
541-643-4733
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
6302 (Oregon)
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
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