Individual
CHERYL ANDERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
505 W PICKETT CREEK RD, GRANTS PASS, OR 97527-9668
(541) 761-0139
Mailing address
505 W PICKETT CREEK RD, GRANTS PASS, OR 97527-9668
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
20865
OR
Other
Enumeration date
07/21/2016
Last updated
07/21/2016
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