Organization
MICAH FAY BODY TREATMENTS INC
Active
Other names
Micah Fay
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MATTHEW MICAH HILLER LMT (FOUNDER)
(541) 955-4695
Entity
Organization
Contact information
Practice address
1156 NE D ST, GRANTS PASS, OR 97526-2322
(541) 955-4695
Mailing address
1156 NE D ST, GRANTS PASS, OR 97526-2322
(541) 955-4695
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7648
OR
Other
Enumeration date
10/15/2008
Last updated
10/15/2008
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