Individual
AMELIA R MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
333 SW 5TH ST STE B, GRANTS PASS, OR 97526-2509
(541) 507-9894
Mailing address
333 SW 5TH ST STE B, GRANTS PASS, OR 97526-2509
(541) 507-9894
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
16801
OR
225700000X
Massage Therapist
Primary
26801
—
Other
Enumeration date
01/07/2022
Last updated
01/07/2022
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