Individual
ASHLEY BLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
3700 RIVER RD N STE 8, KEIZER, OR 97303-5657
(503) 999-5951
Mailing address
433 JANET CT N, KEIZER, OR 97303-4515
(503) 999-5951
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
18081
OR
Other
Enumeration date
03/24/2020
Last updated
03/24/2020
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