Individual
CONNIE WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
704 COTTAGE ST NE, SALEM, OR 97301-2410
(503) 580-9307
Mailing address
704 COTTAGE ST NE, SALEM, OR 97301-2410
(503) 580-9307
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
11575
OR
Other
Enumeration date
03/22/2010
Last updated
03/22/2010
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