Individual
MICHELLE LYNN DAVIES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
22839 WILLOW LN, VENETA, OR 97487-9416
(541) 935-3840
Mailing address
22839 WILLOW LN, VENETA, OR 97487-9416
(541) 935-3840
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
14652
OR
Other
Enumeration date
01/29/2010
Last updated
01/29/2010
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