Individual
AMY S BOONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T., C.E.I.M.
Contact information
Practice address
1117 E MAIN ST, MEDFORD, OR 97504-7404
(541) 779-2577
Mailing address
349 OGARA ST, MEDFORD, OR 97501-3744
(541) 778-7477
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
12218
OR
Other
Enumeration date
12/03/2008
Last updated
12/03/2008
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