Individual
ASHLEY GRANDKOSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, L.AC.
Contact information
Practice address
400 CRATER LAKE AVE, MEDFORD, OR 97504-6808
(541) 772-2291
Mailing address
399 UPPER APPLEGATE RD, JACKSONVILLE, OR 97530-9182
(541) 622-5730
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC160695
OR
225700000X
Massage Therapist
14110
OR
Other
Enumeration date
05/22/2008
Last updated
07/24/2014
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