Individual
ELISE YORK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AAS, BS, LMT
Contact information
Practice address
924 E JACKSON ST, MEDFORD, OR 97504-7025
(541) 788-2610
(541) 236-1729
Mailing address
8010 BRIE TERRACE, WHITE CITY, OR 97503
(541) 788-2610
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
14499
OR
Other
Enumeration date
11/01/2011
Last updated
08/30/2021
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