Individual
MRS. ALETA M DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
358 SUPERIOR ST SE, SUITE 200, SALEM, OR 97302-5170
(503) 409-3058
Mailing address
358 SUPERIOR ST SE, SUITE 200, SALEM, OR 97302-5170
(503) 409-3058
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7755
OR
Other
Enumeration date
04/20/2007
Last updated
07/08/2007
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