Individual
AALEXYZ MYCHELLE WILKINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
940 TOWN CENTRE DR STE B, MEDFORD, OR 97504-6165
(458) 658-4286
Mailing address
1106 W 10TH ST, MEDFORD, OR 97501-3022
(458) 658-4286
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
27816
OR
Other
Enumeration date
08/14/2023
Last updated
02/16/2024
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