Individual
MICHELLE ROBERTS-MAXWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
314 E MAIN ST, TALENT, OR 97540
(541) 210-5999
Mailing address
3604 FIELDBROOK AVE, MEDFORD, OR 97504-9465
(541) 890-1925
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
27155
OR
Other
Enumeration date
08/15/2022
Last updated
08/15/2022
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