Individual
CHEYENNE DANIELLE SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
820 CRATER LAKE AVE STE 113, MEDFORD, OR 97504-6581
(541) 770-1606
Mailing address
701 WESTERN AVE APT 307, MEDFORD, OR 97501-1886
(541) 538-9528
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
26011
OR
Other
Enumeration date
04/01/2021
Last updated
04/01/2021
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