NPI 1063048890

Mino Fuller

Practitioner Mechanotherapist Corvallis, OR

Practice location

Address: 1760 SW 3rd St, Corvallis, OR 97333-1725
Phone: (720) 323-8971

Registered specialties

Mechanotherapist Primary

Other Service Providers Taxonomy 172M00000X

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Registry record

NPI: 1063048890
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 Mar 2020
Record last updated: 12 Mar 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.