Individual
LESLIE PRITCHETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
836 E MAIN ST, MEDFORD, OR 97504-7115
(541) 773-9324
Mailing address
413 TEAKWOOD DR, GRANTS PASS, OR 97526-9037
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
22711
OR
Other
Enumeration date
10/26/2016
Last updated
10/26/2016
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