Individual
MS. LAURA LEE STAPLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
5360 ALPHA ST SE, SALEM, OR 97306-1552
(503) 851-3050
Mailing address
5360 ALPHA ST SE, SALEM, OR 97306-1552
(503) 851-3050
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
7002
OR
Other
Enumeration date
01/27/2010
Last updated
01/27/2010
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