Individual
ALISHIA RYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
84373 NORDMARK DR, SEASIDE, OR 97138-3618
(503) 440-6212
Mailing address
84373 NORDMARK DR, SEASIDE, OR 97138-3618
(503) 440-6212
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
21247
OR
Other
Enumeration date
05/26/2016
Last updated
05/26/2016
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