Organization
ALISON SANDERS LMT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS ALISON NISSA SANDERS LMT (OWNER/PROVIDER)
(541) 591-1618
Entity
Organization
Contact information
Practice address
1803 MAIN ST, KLAMATH FALLS, OR 97601-2636
(541) 591-1618
Mailing address
1803 MAIN ST, KLAMATH FALLS, OR 97601-2636
(541) 591-1618
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
16300
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
163000
STATE LICENSE
OR
Enumeration date
06/30/2015
Last updated
06/30/2015
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