Individual
BRITTANI FEETHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
980 SW 6TH ST STE 25, GRANTS PASS, OR 97526-2910
(541) 441-2057
Mailing address
PO BOX 2523, GRANTS PASS, OR 97528
(541) 441-2057
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
14006
OR
Other
Enumeration date
04/01/2009
Last updated
04/01/2009
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