Individual
ALISHA REEVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
51538 HIGHWAY 97 STE 2A, LA PINE, OR 97739-8957
(541) 815-2808
Mailing address
PO BOX 1454, LA PINE, OR 97739-1454
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
20755
OR
Other
Enumeration date
03/23/2018
Last updated
03/23/2018
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