Individual
MELANIE ANN SIMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1663 HIGH ST, EUGENE, OR 97401-4113
(541) 513-5264
Mailing address
1920 ORR LN, EUGENE, OR 97405-1561
(541) 513-5264
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
14771
OR
Other
Enumeration date
02/16/2015
Last updated
01/11/2023
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