Individual
DEWEY THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.M.T.
Contact information
Practice address
1630 WILLIAMS HWY, GRANTS PASS, OR 97527-5660
(541) 761-7329
Mailing address
1630 WILLIAMS HWY, PMB 300, GRANTS PASS, OR 97527
(541) 761-7329
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
15501
OR
Other
Enumeration date
03/03/2015
Last updated
03/06/2015
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