Individual
ALICE SHERARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2365 GREAR ST NE, SALEM, OR 97301-2747
(971) 273-7177
Mailing address
PO BOX 8216, SALEM, OR 97303-0281
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
22885
OR
Other
Enumeration date
10/21/2021
Last updated
10/21/2021
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