Organization
MANDALA MASSAGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TANYA SUZANNE ALLEN LMT (OWNER)
(541) 761-8262
Entity
Organization
Contact information
Practice address
215 SE 6TH ST STE 207, GRANTS PASS, OR 97526-2471
(541) 761-8262
Mailing address
4080 AZALEA DR, GRANTS PASS, OR 97526-8297
(541) 761-8262
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
12/27/2022
Last updated
12/27/2022
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