Individual
MS. MELISSA MALM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, NCTMB
Contact information
Practice address
180 ALIDA ST, ASHLAND, OR 97520-2158
(415) 595-0328
Mailing address
180 ALIDA ST, ASHLAND, OR 97520-2158
(415) 595-0328
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
17972
OR
Other
Enumeration date
09/01/2015
Last updated
09/01/2015
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