Individual
JASON MATTHEW KRETZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.M.T.
Contact information
Practice address
2900 NW VINE ST, SUTIE B, GRANTS PASS, OR 97526-8411
(423) 331-0188
Mailing address
469 RANCHO VISTA DR, GRANTS PASS, OR 97526-3735
(423) 331-0188
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
14557
OR
Other
Enumeration date
07/31/2013
Last updated
07/31/2013
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