Individual
ALLISON K EVANS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
807 W JACKSON ST, MEDFORD, OR 97501-2471
(541) 864-9808
Mailing address
807 W JACKSON ST, MEDFORD, OR 97501-2471
(541) 864-9808
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
15318
OR
Other
Enumeration date
05/14/2013
Last updated
05/14/2013
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