Individual
HOLLY HAWTHORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
65 6TH ST, ASHLAND, OR 97520-2145
(541) 363-2248
Mailing address
2305 ASHLAND ST STE 104-237, ASHLAND, OR 97520-3777
(541) 363-2248
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
17563
OR
Other
Enumeration date
10/29/2013
Last updated
08/25/2023
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