Individual
MICHELE NICOLE YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, LE
Contact information
Practice address
535 STEVENS ST STE I, MEDFORD, OR 97504-6747
(541) 499-5110
Mailing address
535 STEVENS ST STE I, MEDFORD, OR 97504-6747
(541) 499-5110
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
26004
OR
Other
Enumeration date
05/02/2022
Last updated
05/02/2022
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