Individual
MISS ANN WATTERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT #4867,RPP,RPE
Contact information
Practice address
1940 BREYMAN ST NE, SALEM, OR 97301-4352
(503) 581-6512
Mailing address
1940 BREYMAN ST NE, SALEM, OR 97301-4352
(503) 581-6512
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
4867
OR
Other
Enumeration date
11/07/2006
Last updated
07/08/2007
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