Individual
SHIRLEY LYNN THORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT,HHP,CHI
Contact information
Practice address
1441 QUAIL XING, GRANTS PASS, OR 97526-3688
(541) 441-1084
Mailing address
1441 QUAIL XING, GRANTS PASS, OR 97526-3688
(541) 441-1084
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
10903
CA
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
10903
CA
Other
Enumeration date
09/17/2010
Last updated
11/01/2014
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