Individual
ALICIA WELLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
598 NE E ST STE A, GRANTS PASS, OR 97526-2350
(541) 819-0824
Mailing address
PO BOX 553, WILLIAMS, OR 97544-0553
(541) 819-0824
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
20066
OR
Other
Enumeration date
01/27/2025
Last updated
01/27/2025
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