Individual
BETHANY PIERCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
2627 SISKIYOU BLVD STE 102, MEDFORD, OR 97504-8188
(541) 261-8511
Mailing address
140 TENNEY DR, ROGUE RIVER, OR 97537-4526
(541) 261-8511
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
10815
OR
Other
Enumeration date
07/01/2014
Last updated
11/17/2022
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