Individual
CAITLIN ELIZABETH STALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
310 CRATER LAKE AVE STE 102, MEDFORD, OR 97504-6857
(541) 210-5674
Mailing address
8026 DIVISION RD, WHITE CITY, OR 97503-1153
(541) 390-6242
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
023555
OR
Other
Enumeration date
08/17/2017
Last updated
07/21/2022
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