ANNA-LIESE AMUNDSON
Individual Provider (NPI-1)
Active
Massage Therapist
Provider Information
- NPI Number
1770053100- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 824 E JACKSON ST STE A, MEDFORD, OR, 975046745
- Phone
- (458) 225-9225
Specialties & Taxonomies
Massage Therapist
Primary License: OR #24474