Individual
RUE HETHER NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
2375 LOWER RIVER RD, GRANTS PASS, OR 97526-9020
(458) 229-0304
Mailing address
560 NE F ST, STE A PMB 459, GRANTS PASS, OR 97526-5124
(458) 229-0304
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
12191
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12191
STATE OF OR BOARD OF MASSAGE THERAPISTS
OR
Enumeration date
03/08/2008
Last updated
12/11/2023
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