Individual
EMMA ELIZABETH WILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
508 WASHINGTON ST STE 13, THE DALLES, OR 97058-2232
(541) 316-0787
Mailing address
209 W 4TH ST, THE DALLES, OR 97058-1805
(907) 750-2835
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
24999
OR
Other
Enumeration date
03/21/2019
Last updated
06/23/2020
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