Individual
MS. MICHELE ANTICO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1039 TAYLOR ST, EUGENE, OR 97402-4766
(541) 554-9467
Mailing address
143 TATUM LN, EUGENE, OR 97404-3148
(541) 554-9467
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
8200
OR
Other
Enumeration date
03/07/2011
Last updated
03/07/2011
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