Individual
JAMIE MANEHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
725 SE MAIN ST, ROSEBURG, OR 97470-3933
(541) 378-7789
(208) 248-7717
Mailing address
725 SE MAIN ST, ROSEBURG, OR 97470-3982
(541) 378-7789
(208) 248-7717
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
17584
OR
Other
Enumeration date
08/06/2014
Last updated
12/14/2016
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