Individual
MICHELLE MOLOTTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1221 23RD ST SE, #150, SALEM, OR 97302-1364
(503) 507-2711
Mailing address
1221 23RD ST SE, #150, SALEM, OR 97302-1364
(503) 507-2711
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
18955
OR
Other
Enumeration date
05/02/2011
Last updated
12/02/2013
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