Individual
AIMEE K MICHEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3550 NATIONAL DR., MEDFORD, OR 97504
(541) 324-4179
Mailing address
1422 WEEPING WILLOW CT, GRANTS PASS, OR 97527-5185
(510) 306-8788
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
24563
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1386137248
—
OR
Enumeration date
09/27/2018
Last updated
09/27/2018
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