Individual
ASHLEY BOLTJES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
925 COMMERCIAL ST SE, SUITE 260, SALEM, OR 97302-4172
(503) 391-9222
Mailing address
570 GREENCREST ST NE, SALEM, OR 97301-4971
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
14466
OR
Other
Enumeration date
06/18/2010
Last updated
07/24/2012
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