Individual
CARA A. WIRT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
836 EAST MAIN ST, SUITE 1, MEDFORD, OR 97504
(541) 773-9324
Mailing address
836 EAST MAIN ST, SUITE 1, MEDFORD, OR 97504
(541) 773-9324
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
10689
OR
Other
Enumeration date
03/13/2007
Last updated
04/14/2010
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