Individual
ALISSA JACOBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
36 HAWTHORNE ST, MEDFORD, OR 97504-7114
(541) 482-6360
Mailing address
312 W 3RD ST, PHOENIX, OR 97535-7754
(859) 462-7853
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
29148
OR
Other
Enumeration date
07/31/2025
Last updated
07/31/2025
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