Individual
AMBER RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT 20105
Contact information
Practice address
720 CARDLEY AVE, MEDFORD, OR 97504-6124
(541) 500-1231
Mailing address
711 MEDFORD CTR # 178, MEDFORD, OR 97504-6772
(541) 690-4904
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
20105
OR
Other
Enumeration date
08/26/2022
Last updated
08/26/2022
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