Individual
EMALIE REID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
220 SE H ST, GRANTS PASS, OR 97526-3025
(541) 415-6405
Mailing address
PO BOX 448, WILLIAMS, OR 97544-0448
(541) 514-6405
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
27415
OR
Other
Enumeration date
06/28/2023
Last updated
06/28/2023
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