Individual
JERI LYNN MIZE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
599 E MAIN ST, ROGUE RIVER, OR 97537-9674
(541) 582-3838
Mailing address
1142 FIELDER CREEK RD, ROGUE RIVER, OR 97537-4645
(707) 474-7025
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
20822
OR
Other
Enumeration date
09/29/2015
Last updated
12/31/2020
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