Individual
AMY MELLISSA WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3276 COMMERCIAL ST SE, SALEM, OR 97302-4584
(503) 881-4233
Mailing address
3276 COMMERCIAL ST SE, SALEM, OR 97302-4584
(503) 881-4233
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
10921
OR
Other
Enumeration date
05/13/2010
Last updated
05/13/2010
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